DR. BRENDA LEE SULLIVAN (NPI# 1275712580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275712580 |
| Entity Type | Individual |
| Full Name | DR. BRENDA LEE SULLIVAN |
| Credential | M.D. |
| Practice Address |
955 Yonkers Ave Suite 110 Yonkers NY 10704-3060 |
| Practice Telephone | 9142371260 |
| Mailing Telephone | 9142371260 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 168673 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922116367 | Brenda Marie Sullivan | Social Worker | 1800 Wesley Rd, Auburn, IN 46706-3653 | 2006-08-27 |
| 1851818777 | Brenda Lee Sullivan | Case Manager/Care Coordinator | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2017-08-23 |
| 1164813929 | Brenda Jean Sullivan | Peer Specialist | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2015-02-13 |
| 1114324886 | Brenda L Sullivan | Nurse Practitioner | 400 S. Santa Fe Ave, Srch Revenue Cycle Mgmt, Salina, KS 67401 | 2014-11-25 |
| 1013014653 | Brenda Elaine Sullivan | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-17 |
| Street Address |
955 YONKERS AVE SUITE 110 |
| City | YONKERS |
| State | NY |
| Zip Code | 10704-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002201 | Yonkers Imaging PC | Radiology | 955 Yonkers Ave, Inter-county Imaging, Yonkers, NY 10704-3060 | 2005-09-02 |
| 1932707544 | Jennifer Crivelli | Physical Therapist | 955 Yonkers Ave, Yonkers, NY 10704-3060 | 2020-10-15 |
| 1972048437 | Knickerbocker Dialysis Inc | Clinic/Center | 955 Yonkers Ave, Ste 201, Yonkers, NY 10704-3063 | 2016-12-19 |
| 1407193899 | St Joseph's Medical Practice PC | Internal Medicine | 955 Yonkers Ave, Suite 200, Yonkers, NY 10704-3060 | 2013-01-07 |
| 1225308505 | Westchester Cancer Surgery P.C. | Surgery | 955 Yonkers Ave, Suite11, Yonkers, NY 10704-3060 | 2012-01-04 |
| 1386923514 | Priyanka Jariwala | Physical Therapist | 955 Yonkers Ave, Ste 109, Yonkers, NY 10704-3063 | 2011-08-05 |
| 1306155254 | Joseph Benjamin Mordus | Physical Therapist | 955 Yonkers Ave, Ste 10, Yonkers, NY 10704-3060 | 2010-09-27 |
| 1801029285 | Taruna Ashok Rijhwani | Physical Therapist | 955 Yonkers Ave, Ste 109, Yonkers, NY 10704-3060 | 2009-09-01 |
| 1720263494 | Raceway Medical Group P.C. | Internal Medicine | 955 Yonkers Ave, Suite 11, Yonkers, NY 10704-3060 | 2007-12-31 |
| 1538354949 | Aloysius G. Smith Md PC | Plastic Surgery | 955 Yonkers Ave, Suite 17, Yonkers, NY 10704-3060 | 2007-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482488 | Chaison Baker | Counselor | 648 Bronx River Road, Yonkers, NY 10704 | 2017-08-11 |
| 1144759432 | Simone Ferreira Parker | Nurse Practitioner | 40 College Place, 2nd Floor, Yonkers, NY 10704 | 2017-06-08 |
| 1457885295 | Jacky Mari Cervantes | Physical Therapist | 909 Midland Ave, Ground Floor, Yonkers, NY 10704 | 2017-04-19 |
| 1720512627 | Gould Chiropractic Pllc | Chiropractor | 125 Crescent Place, Yonkers, NY 10704 | 2017-04-18 |
| 1659828721 | Malgorzata Lukomska | Nurse Practitioner | 541n Bronx River Rd, 8e, Yonkers, NY 10704 | 2016-09-07 |
| 1073964987 | Mustafa Alkhandak | Dentist | 172 Murray Ave, Yonkers, NY 10704 | 2016-06-22 |
| 1497119754 | Arline Mangiamele | Hearing Instrument Specialist | 1006 Mclean Ave, Yonkers, NY 10704 | 2016-04-12 |
| 1396139887 | Sadaf Mumtaz | Family Medicine | 1010 Central Park Avenue, Yonkers, NY 10704 | 2015-03-24 |
| 1639577869 | Georgina M Puente | Registered Nurse | 73 Alexander Avenue, Yonkers, NY 10704 | 2014-12-22 |
| 1083033922 | Frances Nelson | Technician, Other | C/o 6 Pellbridge Drive, Hopewell, NY 10704 | 2014-04-08 |
| Find all providers in zip 10704 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528566254 | Bangaruraju Kolanuvada Medical PC | Internal Medicine | 970 N Broadway Ste 206, Yonkers, NY 10701-1310 | 2018-01-29 |
| 1023354651 | Jose Matos | Internal Medicine | 31 Beechwood Ter, Yonkers, NY 10705-1702 | 2013-01-01 |
| 1720340409 | Sigi Swarnalatha Darla | Internal Medicine | 7 Shoreview Dr, 2, Yonkers, NY 10710-1955 | 2012-06-08 |
| 1073770426 | Christian Georges Mayaud | Internal Medicine | 92 Main St 203, Yonkers, NY 10701-7070 | 2008-05-21 |
| 1184890618 | Marc Steven Berenzweig | Internal Medicine | 2422 Central Park Avenuue, Yonkers, NY 10701 | 2008-05-05 |
| 1952523227 | Manuel G. Tejera, Md Pllc | Internal Medicine | 1019 Yonkers Avenue, Yonkers, NY 10704 | 2007-05-03 |
| 1366577728 | John A Kall | Internal Medicine | 249 Park Ave, Yonkers, NY 10703-2405 | 2007-02-23 |
| 1720167356 | Jerry A Campanella | Internal Medicine | 1254 Central Pk Avenue, Yonkers, NY 10704 | 2006-11-03 |
| 1619051026 | Theodore Kutzy | Internal Medicine | 119 Dehaven Dr, Unit 133, Yonkers, NY 10703-1349 | 2006-10-24 |
| 1083702195 | Frank M Dalessandro | Internal Medicine | 22 Shonnard Pl, Yonkers, NY 10703 | 2006-10-11 |
| Find all providers in YONKERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.