Sullivan, Maura
Sullivan, Maura is an individual health care provider with primary practice located at 2400 Us Route 9 , Hudson NY 12534-4725. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Maura can be contacted via phone (518) 537-4900.Contact Information
Primary practice address
2400 Us Route 9
Hudson NY 12534-4725
Phone: (518) 537-4900
Fax: (518) 537-5977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 210157 | New York |
Profile Details
| NPI number | 1902838071 |
|---|---|
| LBN Legal business name | Sullivan, Maura |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 18th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902838071 | NPPES |
| New York | MEDICAID | 01857643 |
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