Sean C Osullivan, PHYSICIAN ASSISTANT

NPI #1437103090 in Brewster, New York

Provider Information

NPI Number: 1437103090
Entity Type: Individual
Name: Sean C Osullivan, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: May 19, 2006
Last Updated: Feb 11, 2017

Practice Location

Address: 111 CLOCK TOWER CMNS
Address 2: NORTHERN MEDICAL GROUP, PLLC
City: Brewster
State: New York
ZIP Code: 10509-4055
Phone: (845) 592-4915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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