RAVEN DOMINIQUE BEDONIA SULLIVAN PT, DPT
NPI 1619869666
Physical Medicine & Rehabilitation in Bronx, NY
About Raven Dominique Bedonia Sullivan Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN DOMINIQUE BEDONIA SULLIVAN PT, DPT (NPI 1619869666) is an individual physical medicine & rehabilitation provider in Bronx, New York, licensed in New York (040339-01) and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven Dominique Sullivan's NPI number?
The NPI number for Raven Dominique Sullivan is 1619869666. It was assigned to this individual provider in the NPPES registry on July 16, 2025.
Where is Raven Dominique Sullivan located?
Raven Dominique Sullivan practices at 2121 Paulding Ave Apt 4B, Bronx, NY 10462. The listed phone number is (347) 394-6182.
What is Raven Dominique Sullivan's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Raven Dominique Sullivan was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.