Individual
DAVID SULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 LINDEN OAKS, SUITE 200, ROCHESTER, NY 14625-2839
(585) 381-4982
(585) 381-1821
Mailing address
220 LINDEN OAKS, SUITE 200, ROCHESTER, NY 14625-2839
(585) 381-4982
(585) 381-1821
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
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