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Individual
DR. DANIEL JAMES SULLIVAN
Active
Individual
DR. DANIEL JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00492131
—
NY
Enumeration date
08/09/2005
Last updated
10/26/2007
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