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Individual
TIMOTHY BERNARD SULLIVAN
Active
Individual
TIMOTHY BERNARD SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135140
NY
2084P0800X
Psychiatry Physician
84989
CT
Other
Enumeration date
02/08/2007
Last updated
06/30/2026
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