Individual
LAWRENCE CHRISTOPHER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
346 W 22ND ST APT 3, NEW YORK, NY 10011-2670
(212) 255-0712
(212) 255-0712
Mailing address
346 W 22ND ST APT 3, NEW YORK, NY 10011-2670
(212) 255-0712
(212) 255-0712
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
193973
NY
2084P0800X
Psychiatry Physician
Primary
193973
NY
2084P0804X
Child & Adolescent Psychiatry Physician
193973
NY
Other
Enumeration date
10/28/2008
Last updated
04/06/2020
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