Individual
EUGENE MICHAEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1103 STEWART AVE, GARDEN CITY, NY 11530-4886
(516) 248-3737
(516) 248-7304
Mailing address
1103 STEWART AVE, GARDEN CITY, NY 11530-4886
(516) 248-3737
(516) 248-7304
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
227428
NY
Other
Enumeration date
07/18/2006
Last updated
07/16/2012
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