Individual
DR. DANIEL JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
737A LYDIG AVE, BRONX, NY 10462-2103
(718) 824-7333
(631) 549-3267
Mailing address
737A LYDIG AVE, BRONX, NY 10462-2103
(718) 824-7333
(631) 549-3267
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00492131
—
NY
Enumeration date
08/09/2005
Last updated
10/26/2007
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