Individual
DR. JERALD ROBERT SULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
181975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010309402
UNIVERA
NY
01
—
000524867
BLUE CROSS BLUE SHIELD
NY
01
—
000524867002
COMMUNITY BLUE
NY
01
—
1309949
INDEPEDENT HEALTH
NY
01
—
1320353
UNITED EMPIRE
NY
01
—
16-1605603
TAX IDENTIFER
NY
01
—
50599
CHOICE CARE
NY
01
—
CPS181975-4B
WORKER'S COMPENSATION
NY
Enumeration date
11/30/2006
Last updated
06/05/2008
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