Individual
THOMAS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
2 MORNINGSIDE AVE, KEANSBURG, NJ 07734-1819
(732) 947-2768
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1103521092
NY
Other
Enumeration date
04/21/2020
Last updated
10/25/2023
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