RAVEN DOMINIQUE SULLIVAN, PT, DPT

Physical Medicine & Rehabilitation

Active Individual
NPI: 1619869666

Practice Address

2121 PAULDING AVE APT 4B
Bronx, NY 10462

Phone: (347) 394-6182

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X Yes 040339-01 (NY)

Frequently Asked Questions

NPI 1619869666 is the National Provider Identifier for RAVEN DOMINIQUE SULLIVAN, PT, DPT, a Physical Medicine & Rehabilitation provider located in Bronx, NY. This NPI was enumerated on July 16, 2025.
RAVEN DOMINIQUE SULLIVAN, PT, DPT practices at 2121 PAULDING AVE APT 4B, Bronx, NY 10462.

Quick Facts

NPI
1619869666
Type
Individual
Enumerated
Jul 16, 2025
Last Updated
Jul 16, 2025

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