Individual
DR. CORDY E SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6565
Mailing address
67 KENDALL ST, SUITE 200, CLIFTON SPRINGS, NY 14432-9701
(315) 462-9482
(315) 462-5438
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
134827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964223
—
NY
Enumeration date
07/26/2006
Last updated
08/21/2007
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