Sullivan, James Dennis

Sullivan, James Dennis is an individual health care provider with primary practice located at 600 Northern Blvd Suite 111, Great Neck NY 11021-5200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sullivan, James Dennis can be contacted via phone (516) 487-9454.

Contact Information

Primary practice address
600 Northern Blvd Suite 111 Great Neck NY 11021-5200
Phone: (516) 487-9454
Fax: (516) 487-2745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 176543 New York

Profile Details

NPI number 1871563551
LBN Legal business name Sullivan, James Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 2nd, 2016 - about 8 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 1871563551 NPPES
New York MEDICAID 01839674

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