National Provider Identifier
Joan M Sullivan, MD
Joan M Sullivan, MD is listed in the NPPES registry with a primary specialty of Legal Medicine in Ithaca, NY and a listed phone number of (607) 266-7800.
Profile Overview
- NPI
- 1346240223
- Provider Type
- Individual
- Primary Specialty
- Legal Medicine
- Enumeration Date
- July 21, 2005
- Last Updated
- July 08, 2007
Practice Location
- 20 Arrowood Dr
- Ithaca, NY 14850-1857
Phone: (607) 266-7800
Mailing Address
- 102 Horizon Dr
- Ithaca, NY 14850-9791
Specialties
- Legal Medicine (173000000X)
Full Record
- NPI
- 1346240223
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Joan
- Middle Name
- M
- Credential
- MD
- Mailing Street Address
- 102 Horizon Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9791
- Mailing Country
- US
- Mailing Phone
- (607) 257-1014
- Practice Street Address
- 20 Arrowood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1857
- Practice Country
- US
- Practice Phone
- (607) 266-7800
- Enumeration Date
- July 21, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Legal Medicine (173000000X)