Individual
DR. JOHN M. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
3495 BAILEY AVE, BUILDING 20, MS151, VA WNY HEALTHCARE SYSTEM,, BUFFALO, NY 14215-1129
(716) 862-6533
(716) 862-6526
Mailing address
175 KENTON PL, HAMBURG, NY 14075-4309
(716) 649-4785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207651
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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