Ross William Sullivan
Emergency Physician Internist - Addiction Medicine
750 E Adams St
Syracuse
, New York 13210-2342
Ross William Sullivan
Emergency Physician Internist - Addiction Medicine
750 E Adams St
Syracuse
, New York 13210-2342
(315) 464-8690
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About
Features
Specialties
- Emergency Physician
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Ross William Sullivan
- 750 E Adams St
- Syracuse, NY
- Zip : 13210-2342
- Fax : (315) 464-8690
- Phone : (315) 464-4363
Second Address
- Ross William Sullivan
- 750 E Adams St
- Syracuse, NY
- Zip : 13210-2342
- Fax : (315) 464-8690
- Phone : (315) 464-4363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 258893 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 258893 | NY |
National Provider Identifier
| NPI | 1366699498 |
|---|---|
| Provider Name | Ross William Sullivan |
| First Address | Syracuse, NY 13210-2342 |
| Second Address | Syracuse, NY 13210-2342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2008 |
| Last Update Date | 05/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03302994 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.