JAY F SULLIVAN MD PC
Marriage and Family Therapists at Jefferson St, Port Ontario, NY

License number
New York 169461
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JAY FREDERICK SULLIVAN
Title: MD
Phone: (315) 298-2768
Address
Address
4882B NORTH Jefferson St, Port Ontario, NY 13142
National Provider ID: 1427189638
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAY F. SULLIVAN, M.D., PC

4882B N Jefferson St, Pulaski, NY 13142

Registration:
Dec 9, 1999
State ID:
2448153
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Jay F. Sullivan, 4882B N Jefferson St, Pulaski, NY 13142 (Physical)

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