MARK SULLIVAN

CLIFTON PARK, NY
NPI1821046921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004099)
Enumeration Date2006-05-04
Last Update Date2015-12-07
Business Address
-- MARK SULLIVAN PA
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065-2807
Phone number: 518-373-4444
Mailing Address
-- MARK SULLIVAN PA
4 PALISADES DR
ALBANY, NY 12205-1449
Phone number: 518-591-1121
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