National Provider Identifier
Samantha A Sullivan
Samantha A Sullivan is listed in the NPPES registry with a primary specialty of Adult Psychiatric/Mental Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 885-2261.
Profile Overview
- NPI
- 1780447979
- Provider Type
- Individual
- Primary Specialty
- Adult Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- February 01, 2024
- Last Updated
- February 01, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 885-2261
Specialties
- Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)
Full Record
- NPI
- 1780447979
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Samantha
- Middle Name
- A
- Name Prefix
- MS.
- Mailing Street Address
- 400 Forest Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1207
- Mailing Country
- US
- Mailing Phone
- (716) 885-2261
- Mailing Fax
- (716) 816-2067
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 885-2261
- Practice Fax
- (716) 816-2267
- Enumeration Date
- February 01, 2024
- Last Updated
- February 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 31, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Psychiatric/Mental Health Registered Nurse (163WP0809X)