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Contact Information

JEREMIAH OSULLIVAN, MD
2218 MAIN STREET
BUFFALO, NY14214
 Phone: 716-834-4141
 Fax: 716-838-5840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEREMIAH OSULLIVAN · (Male)

NPI Number 1104893833
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 07/10/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 100021
  • NY Medicaid 00611243
Hospital affiliation(s)
  • SISTERS OF CHARITY HOSPITAL - (Acute Care)
    2157 MAIN STREET
    BUFFALO, NY 14214
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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