Individual
PETER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6134
(212) 717-1062
Mailing address
7 TACOMA LN, HAMILTON, NJ 08619-2066
(585) 752-3227
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
058029
NY
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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