Organization
SULLIVAN EMERGENCY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WHITMAN DO (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
68 HARRIS RD, HARRIS, NY 12742
(845) 794-3300
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/10/2012
Last updated
05/11/2021
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