National Provider Identifier
John M. Sullivan, M.D.PH.D.
John M. Sullivan, M.D.PH.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Buffalo, NY and a listed phone number of (716) 862-6533.
Profile Overview
- NPI
- 1770694499
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Building 20, Ms151, Va Wny Healthcare System,
- Buffalo, NY 14215-1129
Phone: (716) 862-6533
Mailing Address
- 175 Kenton Pl
- Hamburg, NY 14075-4309
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1770694499
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- John
- Middle Name
- M.
- Name Prefix
- Dr.
- Credential
- M.D.PH.D.
- Mailing Street Address
- 175 Kenton Pl
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4309
- Mailing Country
- US
- Mailing Phone
- (716) 649-4785
- Practice Street Address
- 3495 Bailey Ave
- Practice Address Line 2
- Building 20, Ms151, Va Wny Healthcare System,
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6533
- Practice Fax
- (716) 862-6526
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)