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Individual

MS. SAMANTHA A SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 885-2261
(716) 816-2267
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 885-2261
(716) 816-2067

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
752761
NY

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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