Sullivan, Leo P

Sullivan, Leo P is an individual health care provider with primary practice located at 4401 Middle Settlement Road Suite 208, New Hartford NY 13413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sullivan, Leo P can be contacted via phone (315) 797-3430.

Contact Information

Primary practice address
4401 Middle Settlement Road Suite 208 New Hartford NY 13413
Phone: (315) 797-3430
Fax: (315) 624-7383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 165823-1 New York

Profile Details

NPI number 1437140472
LBN Legal business name Sullivan, Leo P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 17th, 2012 - about 13 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 1437140472 NPPES
New York MEDICAID 01134596

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