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

Mark Sullivan, PA

Individual provider Physician Assistant · NPI 1821046921

Mark Sullivan, PA is a Physician Assistant in Clifton Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone: (518) 373-4444
Fax: (518) 373-0663
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004099 (NY)

Record details

NPI number1821046921
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESDecember 7, 2015

Other providers in Clifton Park