Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Sullivan, DO

Individual provider Family Medicine Physician · NPI 1124311360

Mallory Sullivan, DO is a Family Practice in Waterville, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2011, 15 years ago. Practices with Mvhs Inc, a 331-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

117 W Main St Ste 1
Waterville, NY 13480-1165
Phone: (315) 841-4178
Fax: (315) 841-4338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 274601 (NY)

Record details

NPI number1124311360
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 20, 2011
Last updated in NPPESMarch 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2011 (15 years in practice)
Group practice Mvhs Inc — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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