Sullivan, Daniel James

Sullivan, Daniel James is an sole proprietor health care provider with primary practice located at 737A Lydig Ave , Bronx NY 10462-2103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sullivan, Daniel James can be contacted via phone (718) 824-7333.

Contact Information

Primary practice address
737A Lydig Ave Bronx NY 10462-2103
Phone: (718) 824-7333
Fax: (631) 549-3267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003134 New York

Profile Details

NPI number 1699776849
LBN Legal business name Sullivan, Daniel James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Oct 26th, 2007 - about 17 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 1699776849 NPPES
New York MEDICAID 00492131

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