Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stanford N. Sullum MD PLLC

Organization Gynecology Physician · NPI 1417227562

Stanford N. Sullum MD PLLC is a Gynecology Physician in New York, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1136 5th Ave 1B
New York, NY 10128-0122
Phone: (212) 876-4630
Fax: (212) 876-3478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1417227562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanford Sullum — Owner · (212) 876-4630
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address1136 5th Ave, 1b, New York, NY 10128-0122

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