Individual provider · Type 1 NPI

Dorothy Louise Sullivan, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1457515918 Active

Practice location

301 E 17th St
New York, NY 10003-3804

Mailing address

4 Bayview Pl
Staten Island, NY 10304-2211

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002960 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1457515918

Dorothy Louise Sullivan, PA-C's National Provider Identifier is 1457515918, issued on Jul 14, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jul 14, 2008.