Individual
WILLIAM B. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
423 E 23RD ST, DEPT OF NEUROLOGY, NEW YORK, NY 10010-5011
(415) 707-9728
Mailing address
180 W 20TH ST, APT. 7P, NEW YORK, NY 10011-3649
(415) 707-9728
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
14982
CA
Other
Enumeration date
08/08/2007
Last updated
06/24/2013
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