Individual
GEOFFREY MICHAEL O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10021-4870
(212) 746-0328
Mailing address
236 E DEVONIA AVE, MOUNT VERNON, NY 10552-1236
(914) 667-1057
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1323-1
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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