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General NPI Number Information
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NPI Number | 1659304509
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Entity Type | Individual
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Provider Name | ROXANA SULICA M.D.,
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 16TH STREET AT 1ST AVENUE
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-420-2377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000-2433
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City | PHILADELPHIA
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State | PA
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Zip | 19195-2433
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Country | US
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Telephone | 212-844-8824
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 241675
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 001968
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License Number State | NY
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