Individual
DR. MARK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(888) 694-5700
Mailing address
1051 RIVERSIDE DR, NEW YORK, NY 10032-1007
(646) 774-6342
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
290047
NY
Other
Enumeration date
04/21/2016
Last updated
08/26/2020
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