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Contact Information

LEO P SULLIVAN, MD
4401 MIDDLE SETTLEMENT ROAD
SUITE 208
NEW HARTFORD, NY13413
 Phone: 315-797-3430
 Fax: 315-624-7383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LEO P SULLIVAN · (Male)

NPI Number 1437140472
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2005
Last updated 02/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 165823-1
  • NY Medicaid 01134596
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ROME MEMORIAL HOSPITAL INC - (Acute Care)
    1500 NORTH JAMES STREET
    ROME, NY 13440
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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