Sullivan, Matthew Patrick

Sullivan, Matthew Patrick is an individual health care provider with primary practice located at 6620 Fly Rd Ste 200, East Syracuse NY 13057-9791. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Sullivan, Matthew Patrick can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Rd Ste 200 East Syracuse NY 13057-9791
Phone: (315) 464-4472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X MD60545599 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60545599 Washington

Profile Details

NPI number 1750609004
LBN Legal business name Sullivan, Matthew Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Nov 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 1750609004 NPPES
New York MEDICAID 04488400

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