Individual
JAMES M SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 STEWART AVE, GARDEN CITY, NY 11530-4731
(516) 222-8654
(516) 794-6227
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8654
(516) 794-6227
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
138253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00411927
—
NY
Enumeration date
12/22/2006
Last updated
07/27/2021
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