Sullivan, Michelle M

Sullivan, Michelle M is an individual health care provider with primary practice located at 150 Van Buren St , Newark NY 14513-1238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Sullivan, Michelle M can be contacted via phone (315) 331-7741.

Contact Information

Primary practice address
150 Van Buren St Newark NY 14513-1238
Phone: (315) 331-7741
Fax: (315) 331-0566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 7320 New York

Profile Details

NPI number 1265761654
LBN Legal business name Sullivan, Michelle M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 16 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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