NPI Provider: 1841295474
Contact Name: Leidner D. Sheldon
Position: President
Phone: (845) 794-1600
Sullivan Internal Medicine Group, P.c. Information:
Sullivan Internal Medicine Group, P.c. organization have npi 1841295474, taxonomy code is 207R00000X with license number is W00071 in . This Business address located in 518 Broadway, Monticello, NY 12701 New York.
Practice Location
Address: 518 Broadway, Monticello, NY 12701
Phone: (845) 794-1600
Business Location
Address: 518 Broadway, Monticello, NY 12701
Phone: (845) 794-1600
Fax: (845) 794-0749
Taxonomy
Taxonomy Code: 207R00000X
License Number: W00071
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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