Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY SULLIVAN, DO
ActiveMALLORY SULLIVAN, DO is a Family Medicine healthcare provider located in WATERVILLE, New York. NPI 1124311360 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WATERVILLE, NY
Registration Details
- NPI Number
- 1124311360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2011 (15.057360862136 yrs)
- Last Updated
- Mar 20, 2017
- License
-
274601 (NY)
Practice Information
- Address
-
117 W MAIN STSUITE 1WATERVILLE, NY, 134801165Browse NY providers · Browse ZIP 13480
- Phone
- 3158414178
- Fax
- 3158414338
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WATERVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| FRANCIS E CHABOT | MD | 1912996273 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.