| Mark Sullivan, PA | |
|
1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | |
| (518) 373-4444 | |
| (518) 373-0663 |
| Full Name | Mark Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Tallow Wood Dr, Clifton Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821046921 | NPI | - | NPPES |
| 02347280 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004099 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Sullivan, PA 4 Palisades Dr, Albany, NY 12205-1449 Ph: (518) 591-1121 | Mark Sullivan, PA 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 Ph: (518) 373-4444 |
Edward Naumowicz, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1735 Route 9, Suite 105, Clifton Park, NY 12065 Phone: 518-383-2366 | |
Ryan Buckley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1735 Route 9, Clifton Park, NY 12065 Phone: 518-371-5437 Fax: 518-383-6737 | |
William Raymond Fielding, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Tallow Wood Dr, Clifton Park, NY 12065 Phone: 518-373-4500 | |
Meghan E Schiemann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9 Old Plank Rd, Suite 100, Clifton Park, NY 12065 Phone: 518-371-0777 Fax: 518-371-0366 | |
Nancy A Leverone, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 963 Route 146, Clifton Park, NY 12065 Phone: 518-383-8191 Fax: 518-383-9232 | |
Ms. Cheryl M Glick, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Mr. Stephen C. Brendese, M.P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 989 Route 146, Bldg 200, Clifton Park, NY 12065 Phone: 518-383-0891 Fax: 518-383-1662 |