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General NPI Number Information
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NPI Number | 1972535599
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Entity Type | Individual
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Provider Name | FRANCIS JOHN SULLIVAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 111 LODER ST SUITE B
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City | HORNELL
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State | NY
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Zip | 14843-1950
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Country | US
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Telephone | 607-324-2340
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Fax | 607-324-1697
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Provider Business Mailing Address
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Address Line | 111 LODER ST SUITE B
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City | HORNELL
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State | NY
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Zip | 14843-1950
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Country | US
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Telephone | 607-324-2340
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Fax | 607-324-1697
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | D0037347
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD32909
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License Number State | DC
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