| Doctor Name: | MICHAEL W SULLIVAN |
| NPI Number: | 1316943863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 206629 |
| Business Practice Address: | 4510 Main St Fl 2 Snyder, NY - 142263800 |
| Business Phone Number: | 7168393057 |
| Business Fax Number: | 7168391477 |
| Mailing Address: | 4510 Main St, Fl 2 SNYDER |
| State: | NY |
| Postal Code: | 142263800 |
| Phone Number: | 7168393057 |
| Fax Number: | 7168391477 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VE0102X |
| License Number: | 206629 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Reproductive Endocrinology |
| Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |