Individual
DR. ANDREW J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 N HELDERBERG PKWY, SLINGERLANDS, NY 12159-9258
(518) 439-2411
Mailing address
1345 NEW SCOTLAND RD, SLINGERLANDS, NY 12159-7216
(518) 439-8555
(518) 439-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00078181888
—
NY
Enumeration date
10/10/2005
Last updated
04/15/2013
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