William B. Sullivan, N.P.
Nurse Practitioner, Gerontology in New York, NY. Individual provider (NPI-1).
NPI number1457542979
StatusActive
Last updated in NPPESJun 24, 2013
Details
- NPI
- 1457542979
- Entity type
- Individual (NPI-1)
- Name
- William B. Sullivan
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2007
- Last updated
- Jun 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 14982 | CA | Yes |
Practice location
423 E 23rd StDept Of Neurology
New York, NY 10010-5011
Phone 415-707-9728
Mailing address
180 W 20th StApt. 7p
New York, NY 10011-3649
Phone 415-707-9728
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