Sullivan Urologic Associates Pllc

NPI #1184783839 in Liberty, New York

Provider Information

NPI Number: 1184783839
Entity Type: Organization
Organization Name: Sullivan Urologic Associates Pllc
Primary Specialty: Urology
Enumeration Date: Dec 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1987 STATE RT 52E
Address 2: COLONIAL SQUARE MALL SUITE 4
City: Liberty
State: New York
ZIP Code: 12754-8316
Phone: (845) 292-4000

Authorized Official

Name: DR. JOSEF RICHTER, MD
Title: PRESIDENT
Phone: (845) 292-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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