National Provider Identifier
Maranda Sullivan
Maranda Sullivan is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician in Rochester, NY and a listed phone number of (588) 368-4570.
Profile Overview
- NPI
- 1578095998
- Provider Type
- Individual
- Primary Specialty
- Maternal & Fetal Medicine Physician
- Enumeration Date
- April 03, 2017
- Last Updated
- September 04, 2024
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4164
Phone: (588) 368-4570
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Maternal & Fetal Medicine Physician (207VM0101X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1578095998
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Maranda
- Provider Other Last Name
- Vanfleet
- Provider Other First Name
- Maranda
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4164
- Practice Country
- US
- Practice Phone
- (588) 368-4570
- Enumeration Date
- April 03, 2017
- Last Updated
- September 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Maternal & Fetal Medicine Physician (207VM0101X), Obstetrics & Gynecology Physician (207V00000X)