Sullivan, Ross William

Sullivan, Ross William is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sullivan, Ross William can be contacted via phone (315) 464-4363.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-4363
Fax: (315) 464-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 258893 New York
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 258893 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 258893 New York

Profile Details

NPI number 1366699498
LBN Legal business name Sullivan, Ross William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2008
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366699498 NPPES
New York MEDICAID 03302994

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