National Provider Identifier
Christopher Mark Sullivan
Christopher Mark Sullivan is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3941.
Profile Overview
- NPI
- 1467156307
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 898-3941
Mailing Address
- 462 Grider St
- Buffalo, NY 14215-3021
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1467156307
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Christopher
- Middle Name
- Mark
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-3941
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-3941
- Enumeration Date
- March 27, 2023
- Last Updated
- March 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)