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Individual

DR. MARIA A. SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
140 RIVERSIDE DR # 1- O, NEW YORK, NY 10024-2605
(212) 678-9508
(212) 543-6018
Mailing address
4642 WALDO AVE, BRONX, NY 10471-3000
(718) 548-1661
(212) 543-6018

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
194288
NY

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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