Sullivan, Philip Robert
Sullivan, Philip Robert is an individual health care provider with primary practice located at 5959 Big Tree Rd , Orchard Park NY 14127-2291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sullivan, Philip Robert can be contacted via phone (716) 710-8266.Contact Information
Primary practice address
5959 Big Tree Rd
Orchard Park NY 14127-2291
Phone: (716) 710-8266
Fax: (716) 710-8267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 143103 | New York |
Profile Details
| NPI number | 1538234661 |
|---|---|
| LBN Legal business name | Sullivan, Philip Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Nov 8th, 2017 - about 7 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 | 1538234661 | NPPES |
| New York | MEDICAID | 00815581 |
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