Individual provider · Type 1 NPI

Mallory Sullivan, DO

Family Medicine Physician · Waterville, NY

NPI number 1124311360 Active

Practice location

117 W Main St, Suite 1
Waterville, NY 13480-1165

Fax (315) 841-4338

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X274601 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1124311360

Mallory Sullivan, DO's National Provider Identifier is 1124311360, issued on May 20, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waterville, NY. The record was last updated on Mar 20, 2017.