National Provider Identifier

David Sullo, MD

David Sullo, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 381-4982.

NPI 1902901648Rochester, NYPediatrics Physician

Profile Overview

NPI
1902901648
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
September 14, 2006
Last Updated
April 04, 2016

Practice Location

  • 220 Linden Oaks
  • Suite 200
  • Rochester, NY 14625-2839

Phone: (585) 381-4982

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1902901648
Entity Type
Individual
Last Name
Sullo
First Name
David
Credential
MD
Mailing Street Address
220 Linden Oaks
Mailing Address Line 2
Suite 200
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2839
Mailing Country
US
Mailing Phone
(585) 381-4982
Mailing Fax
(585) 381-1821
Practice Street Address
220 Linden Oaks
Practice Address Line 2
Suite 200
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2839
Practice Country
US
Practice Phone
(585) 381-4982
Practice Fax
(585) 381-1821
Enumeration Date
September 14, 2006
Last Updated
April 04, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
02180298 (NY), P010222201 (Excellus Blue Choicee), 7216284 (Aetna US Healthcare), MDG382 (NY, Preferred Care), P020222201 (NY, Blue Shield Of Rochester), RC60222201 (Pomco), 782549 (NY, Mvp Upstate Dhp)