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NPI Code Detail

MEDICARE: TRINITY JOY SULLIVAN

MEDICARE: TRINITY JOY SULLIVAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantNY

General Provider Information

NPI Number : 1972454916
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINITY JOY SULLIVAN
Provider Business Mailing Address
First Line : 22 SHADY GROVE DR
Second Line :
City : EAST AMHERST
State : NY
Zip : 14051-1609
Country : US
Telephone Number : 716-428-1687
Fax Number :
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-862-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ TRINITY JOY SULLIVAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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