Sullivan, Andrew J
Sullivan, Andrew J is an individual health care provider with primary practice located at 34 N Helderberg Pkwy , Slingerlands NY 12159-9258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Andrew J can be contacted via phone (518) 439-2411.Contact Information
Primary practice address
34 N Helderberg Pkwy
Slingerlands NY 12159-9258
Phone: (518) 439-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 124658 | New York |
Profile Details
| NPI number | 1235127796 |
|---|---|
| LBN Legal business name | Sullivan, Andrew J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Apr 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235127796 | NPPES |
| New York | MEDICAID | 00078181888 |
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