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Contact Information

JOHN K SULLIVAN, MD
76 VETERANS AVE
BATH, NY14810
 Phone: 607-664-4000
 Fax: 607-664-4791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN K SULLIVAN · (Male)

NPI # 1235228743
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 09/19/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 166152
  • NY Other J400006577 PTAN-NORTH MEDICAL, PC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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