| Doctor Name: | SUPRIYA CARDOZA |
| NPI Number: | 1932491156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | P79052 |
| Business Practice Address: | 205 E 64th St Memorial Sloan Kettering Hospital Center New York, NY - 100656635 |
| Business Phone Number: | 2126392000 |
| Business Fax Number: | |
| Mailing Address: | 200 Carman Ave, B5 EAST MEADOW |
| State: | NY |
| Postal Code: | 115541147 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | P79052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |