Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY FREDERICK SULLIVAN, MD
Active Sole ProprietorJAY FREDERICK SULLIVAN, MD is a Family Medicine healthcare provider located in PULASKI, New York. NPI 1861426413 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PULASKI, NY
Registration Details
- NPI Number
- 1861426413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.952740426627 yrs)
- Last Updated
- Jan 7, 2021
- License
-
169461 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4882B NORTH JEFFERSON STREETPULASKI, NY, 13142Browse NY providers · Browse ZIP 13142
- Phone
- 3152982768
- Fax
- 3152982846
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PULASKI, NY
| Name | Credential | NPI |
|---|---|---|
| JAY W CHAPMAN | MD | 1205820313 |
| PATRICIA L CHAPMAN | MD | 1306830419 |
| DR. PATRICK J CARGUELLO | D.O. | 1821082009 |
| GLENN F THIBAULT | MD | 1699769364 |
| CHARLES C KIM | MD | 1548254022 |
| AMANDA RAY | DO | 1366763872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.