| Jay F Sullivan Md Pc | |
|
4882b North Jefferson St Pulaski NY 13142 | |
| (315) 298-2768 | |
| Not Available |
| Full Name | Jay F Sullivan Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4882b North Jefferson St, Pulaski, New York |
| Authorized Official Name and Position | Jay Frederick Sullivan (MD) |
| Authorized Official Contact | 3152982768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay F Sullivan Md Pc 4882b North Jefferson St Pulaski NY 13142 Ph: () - | Jay F Sullivan Md Pc 4882b North Jefferson St Pulaski NY 13142 Ph: (315) 298-2768 |
| NPI Number | 1427189638 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305988072 |
|---|---|
| Medicare Enrollment ID | O20100119000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427189638 | NPI | - | NPPES |
| 691259 | Other | NY | MVP |
| 138562 | Other | NY | CIGNA |
| 799222 | Other | NY | AETNA HMO |
| 01538238 | Medicaid | NY | |
| 5939163 | Other | NY | AETNA |
| 169461-1W | Other | NY | WORKERS COMPENSATION |
| 00020708301 | Other | NY | UNIVERA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 169461 (New York) | Primary |
| Provider Name | Jay F Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861426413 PECOS PAC ID: 2860534534 Enrollment ID: I20100119000012 |
Nochsi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-1901 | |
Laura Sharp School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Hinman Rd, Pulaski, NY 13142 Phone: 315-298-2570 Fax: 315-298-7831 | |
Connextcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Pulaski Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3858 State Route 13, Pulaski, NY 13142 Phone: 315-298-2273 | |
Health Center At Pulaski Jr./sr. High Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4624 Salina St, Pulaski, NY 13142 Phone: 315-298-2696 Fax: 315-298-7831 |