Sulik, Sandra Marie

Sulik, Sandra Marie is an individual health care provider with primary practice located at 4000 Medical Center Dr Suite 104, Fayetteville NY 13066-6635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sulik, Sandra Marie can be contacted via phone (315) 663-0059.

Contact Information

Primary practice address
4000 Medical Center Dr Suite 104 Fayetteville NY 13066-6635
Phone: (315) 663-0059
Fax: (315) 663-0123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 184267 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 184267 New York

Profile Details

NPI number 1861414021
LBN Legal business name Sulik, Sandra Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 1st, 2023 - about 2 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 1861414021 NPPES
New York MEDICAID 01285230

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