Individual
DR. KEVIN M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
178 E 85TH ST, 4TH FLOOR, NEW YORK, NY 10028-2119
(212) 434-3630
(212) 434-3639
Mailing address
178 E 85TH ST, 4TH FLOOR, NEW YORK, NY 10028-2119
(212) 434-3630
(212) 434-3639
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
246812
NY
Other
Enumeration date
09/04/2008
Last updated
07/25/2013
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