Individual
DR. GREGORY M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 WEST END AVE, SUITE 1B, NEW YORK, NY 10024-1607
(212) 579-0339
(212) 543-5437
Mailing address
617 WEST END AVE, SUITE 1B, NEW YORK, NY 10024-1607
(212) 579-0339
(212) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
198732
NY
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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