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1376641779
STEPHEN GENE SULLIVAN
NEW YORK, NY
NPI
1376641779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NY 163202)
Enumeration Date
2006-09-20
Last Update Date
2022-09-05
Business Address
STEPHEN GENE SULLIVAN MD
19 W 21ST ST RM 402
NEW YORK, NY 10010-6876
Phone number: 212-979-9145
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Mailing Address
STEPHEN GENE SULLIVAN MD
19 W 21ST ST RM 402
NEW YORK, NY 10010-6876
Phone number: 212-979-9145
Copy
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