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RICHARD J SULLIVAN M.D. P.C. NPI 1497024178


NPI Information

NPI: 1497024178
Provider Name: RICHARD J SULLIVAN, M.D., P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7904 TURIN RD
ROME, NY
ZIP 13440
Phone: (315) 336-3400
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RICHARD J SULLIVAN, M.D., P.C. is a primary care clinic center in Rome, NY. RICHARD J SULLIVAN, M.D., P.C. NPI is 1497024178. The provider is registered as an organization entity type.

The provider's business location address is:

7904 TURIN RD
ROME, NY
ZIP 13440-933
Phone: (315) 336-3400

The provider's authorized official is Richard J Sullivan .
The authorized official title is Corporation President and has the following contact phone number (315) 336-3400.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.


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
1261QP2300XClinic/CenterPrimary Care116001-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130193BMEDICARE UPINNEW YORK

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: 4/28/2024

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