Individual
RICHARD C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 273-6100
Mailing address
3 E 83RD ST, NEW YORK, NY 10028-0459
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
01220
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
04548-1
NY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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