Individual ProviderTom M SullivanChiropractorChiropractic ProvidersPractice Address141 E 55th St Apt 8c, New York, NY 10022-4032(212) 752-8030PECOS EnrollmentBased on the most recent information from CMS, provider Tom M Sullivan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1336230168Provider TypeIndividualFull NameSullivan, Tom MTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date9/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address141 E 55th St Apt 8c, New York, NY 10022-4032Phone(212) 752-8030Fax(212) 752-8033Mailing LocationMailing Address141 E 55th St Apt 8c, New York, NY 10022-4032Phone(212) 752-8030Fax(212) 752-8033Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX008900New York