Organization
RICHARD J SULLIVAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J SULLIVAN M.D. (CORPORATION PRESIDENT)
(315) 336-3400
Entity
Organization
Contact information
Practice address
7904 TURIN RD, ROME, NY 13440-1933
(315) 336-3400
Mailing address
7904 TURIN RD, PO BOX 4440, ROME, NY 13440-1933
(315) 336-3400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
116001-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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