Sullivan, Gabrielle L

Sullivan, Gabrielle L is an individual health care provider with primary practice located at 637 Davison Rd , Lockport NY 14094-5339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sullivan, Gabrielle L can be contacted via phone (716) 433-2484.

Contact Information

Primary practice address
637 Davison Rd Lockport NY 14094-5339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403775-01 New York

Profile Details

NPI number 1740941830
LBN Legal business name Sullivan, Gabrielle L
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2022
Last updated Jun 13th, 2022 - about 2 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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