Individual
DAVID SULLO
Active
Individual
DAVID SULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180298
—
NY
01
—
7216284
AETNA US HEALTHCARE
—
01
—
782549
MVP UPSTATE DHP
NY
01
—
MDG382
PREFERRED CARE
NY
01
—
P010222201
EXCELLUS BLUE CHOICEE
—
01
—
P020222201
BLUE SHIELD OF ROCHESTER
NY
01
—
RC60222201
POMCO
—
Enumeration date
09/14/2006
Last updated
04/04/2016
Update your record
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