Sullivan, James M

Sullivan, James M is an individual health care provider with primary practice located at 711 Stewart Ave , Garden City NY 11530-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Sullivan, James M can be contacted via phone (516) 222-8654.

Contact Information

Primary practice address
711 Stewart Ave Garden City NY 11530-4731
Phone: (516) 222-8654
Fax: (516) 794-6227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 138253 New York

Profile Details

NPI number 1275697161
LBN Legal business name Sullivan, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 27th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275697161 NPPES
New York MEDICAID 00411927

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