Sullivan, Amanda

Sullivan, Amanda is an sole proprietor health care provider with primary practice located at 364 Lake Marie Rd , Liberty NY 12754-2924. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Sullivan, Amanda can be contacted via phone (845) 866-1667.

Contact Information

Primary practice address
364 Lake Marie Rd Liberty NY 12754-2924
Phone: (845) 866-1667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 286438 New York

Profile Details

NPI number 1912291436
LBN Legal business name Sullivan, Amanda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2011
Last updated Jun 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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