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DR. ELIXABETH LASKURAIN SULLIVAN M.D. NPI 1194112235


NPI Information

NPI: 1194112235
Provider Name: DR. ELIXABETH LASKURAIN SULLIVAN, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: VIRGINIA NEPHROLOGY GROUP LLP

PECOS Registration: Yes

Address:
DEPT OF MEDICINE HSC LEVEL 16 SUNY STONY
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-2058
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DR. Elixabeth Laskurain Sullivan, M.D. is an internal medicine in Stony Brook, NY with 12 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Elixabeth Laskurain Sullivan, M.D. NPI is 1194112235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

DEPT OF MEDICINE HSC LEVEL 16 SUNY STONY
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-2058

The NPI 1194112235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 6/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology0101268835VIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207R00000XInternal Medicine0101268835VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.