Organization
SULLIVAN UROLOGIC ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEF RICHTER MD (PRESIDENT)
(845) 292-4000
Entity
Organization
Contact information
Practice address
1987 STATE RT 52E, COLONIAL SQUARE MALL SUITE 4, LIBERTY, NY 12754-8316
(845) 292-4000
(845) 292-4001
Mailing address
PO BOX 276, FERNDALE, NY 12734-0276
(845) 292-4000
(845) 292-4001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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