person
Jay Frederick Sullivan, MD
Family Medicine Physician in Pulaski, New York
NPI 1861426413

Jay Frederick Sullivan is a Family Medicine Physician based in Pulaski, NY. Jay Frederick Sullivan practices in Pulaski, NY and has the professional credentials of MD. The NPI Number for Jay Frederick Sullivan is 1861426413 and holds a License No. 169461 (New York).

The current practice location address for Jay Frederick Sullivan is 4882B North Jefferson Street, Pulaski, NY and can be reached out via phone at 315-298-2768 and via fax at 315-298-2846.

Location: 4882B North Jefferson Street, Pulaski, NY, 13142
person
Provider Profile Details
NPI Number
1861426413
Provider Name
Jay Frederick Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4882B North Jefferson Street, Pulaski, NY, 13142
Phone Number
315-298-2768
Fax Number
315-298-2846
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000006298 01 RMSCO
169461-1W 01 WORKER'S COMPENSATION
5900753 01 GHI
01538238 05 NY
CC6514 01 MEDICARE
799222 01 AETNA HMO
161577435 01 POMCO
5939163 01 AETNA NON HMO
000006298 01 BCBS
080155488 01 MEDICARE RAILROAD
138562 01 CIGNA
00020708301 01 UNIVERA
691259 01 MVP
institution
Provider Business Practice Location Address Details
Address
4882B North Jefferson Street
City
State
Zip
13142
Phone Number
315-298-2768
Fax Number
315-298-2846
person
Provider Business Mailing Address Details
Address
4882B North Jefferson Street
City
State
Zip
13142
Phone Number
315-298-2768
Fax Number
315-298-2846
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
169461 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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