| Sullivan Internal Medicine Group, P.c. | |
|
518 Broadway Monticello NY 12701-1157 | |
| (845) 794-1600 | |
| (845) 794-0749 |
| Full Name | Sullivan Internal Medicine Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 518 Broadway, Monticello, New York |
| Authorized Official Name and Position | Sheldon D. Leidner (PRESIDENT) |
| Authorized Official Contact | 8457941600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Internal Medicine Group, P.c. 518 Broadway Monticello NY 12701-1157 Ph: (845) 794-1600 | Sullivan Internal Medicine Group, P.c. 518 Broadway Monticello NY 12701-1157 Ph: (845) 794-1600 |
| NPI Number | 1841295474 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841295474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | W00071 (New York) | Primary |
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