Individual
BRIAN WILLIAM SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
525 E 68TH ST, STARR PAVILLION ROOM 630, NEW YORK, NY 10065-4870
(212) 746-2680
(212) 746-8597
Mailing address
525 E 68TH ST, STARR PAVILLION ROOM 630, NEW YORK, NY 10065-4870
(212) 746-2680
(212) 746-8597
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
R000148
NY
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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