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Individual

FRANCIS BRENDAN SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1 GUSTAVE L LEVY PL, BOX 1136, NEW YORK, NY 10029-6500
(212) 241-0050
(212) 410-0603
Mailing address
1 GUSTAVE L LEVY PL, BOX 1136, NEW YORK, NY 10029-6500
(212) 241-0050
(212) 410-0603

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005724-1
NY

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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