National Provider Identifier
Jeremiah O'Sullivan, MD
Jeremiah O'Sullivan, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 834-4141.
Profile Overview
- NPI
- 1104893833
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 01, 2006
- Last Updated
- July 10, 2019
Practice Location
- 2218 Main Street
- Buffalo, NY 14214
Phone: (716) 834-4141
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1104893833
- Entity Type
- Individual
- Last Name
- O'Sullivan
- First Name
- Jeremiah
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 2218 Main Street
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214
- Mailing Country
- US
- Mailing Phone
- (716) 834-4141
- Mailing Fax
- (716) 838-5840
- Practice Street Address
- 2218 Main Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 834-4141
- Practice Fax
- (716) 838-5840
- Enumeration Date
- March 01, 2006
- Last Updated
- July 10, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00611243 (NY)