National Provider Identifier

Cordy E Sullivan, MD

Cordy E Sullivan, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Canandaigua, NY and a listed phone number of (585) 396-6565.

NPI 1083638795Canandaigua, NYAnesthesiology Physician

Profile Overview

NPI
1083638795
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
July 26, 2006
Last Updated
August 21, 2007

Practice Location

  • 350 Parrish St
  • Canandaigua, NY 14424-1731

Phone: (585) 396-6565

Mailing Address

  • 67 Kendall St
  • Suite 200
  • Clifton Springs, NY 14432-9701

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1083638795
Entity Type
Individual
Last Name
Sullivan
First Name
Cordy
Middle Name
E
Name Prefix
Dr.
Credential
MD
Mailing Street Address
67 Kendall St
Mailing Address Line 2
Suite 200
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432-9701
Mailing Country
US
Mailing Phone
(315) 462-9482
Mailing Fax
(315) 462-5438
Practice Street Address
350 Parrish St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1731
Practice Country
US
Practice Phone
(585) 396-6565
Enumeration Date
July 26, 2006
Last Updated
August 21, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)
Other Identifiers
00964223 (NY)