Sullivan, Philip Robert

Sullivan, Philip Robert is an individual health care provider with primary practice located at 5959 Big Tree Rd , Orchard Park NY 14127-2291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sullivan, Philip Robert can be contacted via phone (716) 710-8266.

Contact Information

Primary practice address
5959 Big Tree Rd Orchard Park NY 14127-2291
Phone: (716) 710-8266
Fax: (716) 710-8267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 143103 New York

Profile Details

NPI number 1538234661
LBN Legal business name Sullivan, Philip Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Nov 8th, 2017 - about 9 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 1538234661 NPPES
New York MEDICAID 00815581

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