Provider Demographics
NPI:1689641466
Name:GRAHAM-HILL, SUZETTE BLONDELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:BLONDELLE
Last Name:GRAHAM-HILL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:451 CLARKSON AVE
Mailing Address - Street 2:KINGS COUNTY HOSPITAL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2057
Mailing Address - Country:US
Mailing Address - Phone:718-245-3262
Mailing Address - Fax:718-245-3262
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:KINGS COUNTY HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2057
Practice Address - Country:US
Practice Address - Phone:718-245-3262
Practice Address - Fax:718-245-3262
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2021-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2163931207R00000X
NY216393-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH35673Medicare UPIN