Diane Louise Sullivan

NPI #1013978642 in Ithaca, New York

Provider Information

NPI Number: 1013978642
Entity Type: Individual
Name: Diane Louise Sullivan
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker
Enumeration Date: Mar 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: CORNELL UNIVERSITY HEALTH SERVICES
Address 2: HO PLAZA
City: Ithaca
State: New York
ZIP Code: 14853-3101
Phone: (607) 255-6946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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