Organization
DANIEL SULLIVAN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES SULLIVAN DPM (OWNER)
(718) 824-7333
Entity
Organization
Contact information
Practice address
737A LYDIG AVE, BRONX, NY 10462-2103
(718) 824-7333
Mailing address
737A LYDIG AVE, BRONX, NY 10462-2103
(718) 824-7333
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003134
NY
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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