Individual
DR. JONATHAN LEIGH SULKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
23 CONVER DR, SARATOGA SPRINGS, NY 12866
(518) 580-9863
(518) 580-9057
Mailing address
23 CONVER DR, SARATOGA SPRINGS, NY 12866
(518) 580-9863
(518) 580-9057
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01627729
—
NY
Enumeration date
10/21/2005
Last updated
07/08/2007
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