Individual provider · Type 1 NPI

Geoffrey Michael O'Sullivan, RPA-C

Surgical Physician Assistant · New York, NY

NPI number 1265571087 Active

Practice location

525 E 68th St
New York, NY 10021-4870

Mailing address

236 E Devonia Ave
Mount Vernon, NY 10552-1236

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1323-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1265571087

Geoffrey Michael O'Sullivan, RPA-C's National Provider Identifier is 1265571087, issued on Feb 6, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.