| NPI | 1245170323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P SULLIVAN Orthopedic Surgeon 315-790-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-04-17 |