Ross William Sullivan in Syracuse - Addiction Medicine
Ross William Sullivan - NPI 1366699498
Ross William Sullivan is a Addiction Medicine in Syracuse, New York. Ross William Sullivan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Ross William Sullivan is 1366699498. The last update date is 2017-04-05.
Ross William Sullivan's current location address is 750 E Adams St, Syracuse, New York. You can contact this provider via phone number 3154644363 and fax number 3154648690. The mailing address for Ross William Sullivan is 750 E Adams St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross William Sullivan |
|---|---|
| Address | 750 E Adams St, Syracuse, New York |
| Phone Number | 3154644363 |
| Fax Number | 3154648690 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366699498 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2017-04-05 |
Provider Mailing Address Detail
| Address | 750 E Adams St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132102342 |
| Phone Number | 3154644363 |
| Fax Number | 3154648690 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 258893 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3302994 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ross William Sullivan by the Centers for Medicare & Medicaid Services?
The Ross William Sullivan has been issued the NPI (National Provider Identifier) 1366699498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ross William Sullivan is geographically located?
The Ross William Sullivan is physically situated at the following location: 750 E Adams St, Syracuse, NY, 132102342.
What is Ross William Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ross William Sullivan is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366699498 to Ross William Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1366699498 to Ross William Sullivan on 2008-08-20.
As of what date was the information pertaining to Ross William Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ross William Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-05.
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