STANFORD N. SULLUM MD PLLC – NPI #1417227562
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

STANFORD N. SULLUM MD PLLC is a provider located in NEW YORK, NY. NPPES has assigned the NPI number 1417227562 to STANFORD N. SULLUM MD PLLC on January 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STANFORD N. SULLUM MD PLLC below.

NPI Profile for
STANFORD N. SULLUM MD PLLC

NPI Number
1417227562
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STANFORD N. SULLUM MD PLLC
Primary location
1136 5TH AVE
1B
NEW YORK, NY 10128-0122
Phone: (212) 876-4630 Fax: (212) 876-3478
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STANFORD SULLUM
OWNER
Phone: (212) 876-4630
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.