Kevin Sullivan, PA | |
83 Lewis Street, Dryden, NY 13053 | |
(607) 844-8201 | |
(607) 231-4216 |
Full Name | Kevin Sullivan |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 83 Lewis Street, Dryden, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780927897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 016376-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kevin Sullivan, PA 83 Lewis Street Pob 669, Dryden, NY 13053 Ph: (607) 844-8201 | Kevin Sullivan, PA 83 Lewis Street, Dryden, NY 13053 Ph: (607) 844-8201 |
Rebecca Tillotson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Evergreen St., Dryden, NY 13053 Phone: 607-844-8181 Fax: 607-844-4288 | |
Mrs. Shannon Elizabeth Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 83 Lewis St, Dryden, NY 13053 Phone: 607-844-8201 Fax: 607-844-4922 |