DIANA T SU (NPI# 1508024514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508024514 |
| Entity Type | Individual |
| Full Name | DIANA T SU |
| Credential | MD |
| Practice Address |
2500 Nesconset Hwy Bldg 12c Stony Brook NY 11790 |
| Practice Telephone | 6318070128 |
| Practice Fax Number | 6312465817 |
| Mailing Telephone | 6318070128 |
| Mailing Fax Number | 6312465817 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD113818 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | G003052486 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426303 | Diana Su | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-19 |
| Street Address |
2500 NESCONSET HWY BLDG 12C |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556025 | Marc Yland | Anesthesiology | 2500 Nesconset Hwy, Bldg 24c, Stony Brook, NY 11790-2598 | 2005-05-27 |
| 1417471202 | Brandon M Henkowicz Dc, P.C. | Chiropractor | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2017-08-02 |
| 1902345846 | Michael Fama | Physical Therapist | 2500 Nesconset Hwy, Bldg 22b, Stony Brook, NY 11790-2555 | 2017-02-13 |
| 1790149045 | Three Village Orthodontics | Dentist | 2500 Nesconset Hwy, Building 6-b, Stony Brook, NY 11790-2555 | 2016-04-12 |
| 1790156008 | Morgan Smyth | Physician Assistant | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2015-10-13 |
| 1679964043 | Diana V Carney | Nurse Practitioner | 2500 Nesconset Hwy, Bldg 16, Suite 63, Stony Brook, NY 11790-2555 | 2015-02-06 |
| 1528469442 | Stoney Brook Dental PC | Dentist | 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790-2555 | 2014-09-10 |
| 1235545732 | Robert Mosca Physical Therapy, Pllc | Specialist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-03 |
| 1841606605 | Shana Anthony | Physical Therapist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-01 |
| 1891136073 | Comprehensive Neurology of Long Island PC | Neuromusculoskeletal Medicine & OMM | 2500 Nesconset Hwy, Bldg 5b, Stony Brook, NY 11790-2555 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649746272 | Yashar Yousefzadehfard | Psychiatry & Neurology | 101 Nicolls Rd Rm 10-041l, Stony Brook, NY 11794-0001 | 2018-10-22 |
| 1972922185 | Courtney Liebling | Psychiatry & Neurology | Department of Psychiatry Stony, Hsc T-10 Room 020, Stony Brook, NY 11794 | 2014-04-15 |
| 1912267501 | Fiana Klein | Psychiatry & Neurology | Department of Psychiatry & Behavioral Science, Stony Brook University Medical Center Hsc T-10 Room 020, Stony Brook, NY 11794 | 2012-05-17 |
| 1932467966 | Michelle Monique Curro | Psychiatry & Neurology | Hsc, T-10, Room 020, Stony Brook University Medical Center, Stony Brook, NY 11794-8101 | 2012-04-27 |
| 1699092841 | Lauren Marie Spring | Psychiatry & Neurology | Stony Brook Child and Adolescent Psychiatry, 169 Putnam Hall, Stony Brook, NY 11794-8790 | 2010-04-28 |
| 1629247630 | Lavinia Alina Bizeta | Psychiatry & Neurology | State University of New York At Stony Brook, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2008-02-23 |
| 1013124890 | Miles E Driscoll | Psychiatry & Neurology | Stony Brook Hospital Dept of Psychiatry, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2007-05-17 |
| 1467503490 | Ramin Parsey | Psychiatry & Neurology | Hsc 010, Room 020, Stony Brook, NY 11794-8101 | 2007-01-16 |
| 1770632150 | Amy Gardner | Psychiatry & Neurology | Department of Psychiatry Suny Medical Ctr, Hsc, T10-020, Stony Brook, NY 11794-8101 | 2007-01-09 |
| 1861573289 | Mark Lerman | Psychiatry & Neurology | Putnam Hall South Campus, Stony Brook, NY 11794-0001 | 2006-10-19 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.