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Individual
DR. PAMELA C SULLIVAN
Active
Individual
DR. PAMELA C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
188059
NY
207R00000X
Internal Medicine Physician
188059
NY
207R00000X
Internal Medicine Physician
19305
NV
207R00000X
Internal Medicine Physician
Primary
59371
AZ
207R00000X
Internal Medicine Physician
G155173
CA
207R00000X
Internal Medicine Physician
MD187315
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02089325
—
NY
01
—
930079485
RAILROAD MEDICARE
NY
Enumeration date
01/18/2007
Last updated
03/10/2026
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