Individual
BRIAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3549
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007074
NY
Other
Enumeration date
12/20/2005
Last updated
02/11/2021
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