Individual
BRENDAN JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 MAIDEN LN STE 900, NEW YORK, NY 10038-4811
(917) 261-4414
(917) 261-4420
Mailing address
1 LIBERTY PLZ STE 301, NEW YORK, NY 10006-1404
(917) 261-4414
(917) 261-4420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036150346
IL
207R00000X
Internal Medicine Physician
256259
MA
207R00000X
Internal Medicine Physician
25MA10635600
NJ
207R00000X
Internal Medicine Physician
272839
MA
207R00000X
Internal Medicine Physician
Primary
295780
NY
207R00000X
Internal Medicine Physician
63815
CT
207R00000X
Internal Medicine Physician
D87163
MD
Other
Enumeration date
06/27/2013
Last updated
06/05/2024
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