Jay Frederick Sullivan in Pulaski - Family Medicine
Jay Frederick Sullivan - NPI 1861426413
Jay Frederick Sullivan is a Family Medicine in Pulaski, New York. Jay Frederick Sullivan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jay Frederick Sullivan is 1861426413. The last update date is 2021-01-07.
Jay Frederick Sullivan's current location address is 4882b North Jefferson Street, Pulaski, New York. You can contact this provider via phone number 3152982768 and fax number 3152982846. The mailing address for Jay Frederick Sullivan is 4882b North Jefferson Street, Pulaski, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jay Frederick Sullivan |
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Address | 4882b North Jefferson Street, Pulaski, New York |
Phone Number | 3152982768 |
Fax Number | 3152982846 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1861426413 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2021-01-07 |
Provider Mailing Address Detail
Address | 4882b North Jefferson Street |
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City | Pulaski |
State | New York (NY) |
Post Code | 13142 |
Phone Number | 3152982768 |
Fax Number | 3152982846 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 169461 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6298 | RMSCO | ||
169461-1W | WORKER'S COMPENSATION | ||
5900753 | GHI | ||
1538238 | NY | -- | |
CC6514 | MEDICARE | ||
799222 | AETNA HMO | ||
161577435 | POMCO | ||
5939163 | AETNA NON HMO | ||
6298 | BCBS | ||
80155488 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Jay Frederick Sullivan's 1861426413?
The Jay Frederick Sullivan's NPI (National Provider Identifier) Number is 1861426413. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jay Frederick Sullivan is physically located?
The Jay Frederick Sullivan is physically situated at the following address: 4882B North Jefferson Street, Pulaski, NY, 13142.
What is the area of specialization for Jay Frederick Sullivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jay Frederick Sullivan is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Jay Frederick Sullivan receive its 1861426413 assignment from the Centers for Medicare & Medicaid Services?
The Jay Frederick Sullivan was assigned its 1861426413 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information related to Jay Frederick Sullivan most recently updated or refreshed?
The details pertaining to the Jay Frederick Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-07.