Mallory Sullivan, DO
NPI #1124311360 in Waterville, New York
Provider Information
- NPI Number
- 1124311360
- Entity Type
- Individual
- Name
- Mallory Sullivan, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- May 20, 2011
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 117 W MAIN ST
- Address 2
- SUITE 1
- City
- Waterville
- State
- New York
- ZIP Code
- 13480-1165
- Phone
- (315) 841-4178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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