John P Sullivan LCSW-R

NPI 1073895314 - Social Worker - 104100000X

NPI Details
NPI 1073895314
Gender Male
Enumeration Date 09/13/2011
Last Updated 09/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1545 SAINT PAUL ST
ROCHESTER NY, 14621-3156, US
Phone (585) 286-2824
Fax (585) 336-5880
Business Location
1545 SAINT PAUL ST
ROCHESTER NY, 14621-3156, US
Phone (585) 286-2824
Fax (585) 336-5880
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 043085
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According to our database, Mr. John P Sullivan LCSW-R NPI is 1073895314, taxonomy code is 104100000X and license number is 043085, license state is located at New York. John P Sullivan LCSW-R physically located at 1545 Saint Paul St, Rochester NY, 14621-3156. NPI Number John P Sullivan LCSW-R has the Individual type.

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1073895314 NPI number is provided on an as is basis without warranty of any kind. 1073895314 is maintained by the National Plan & Provider Enumeration System. The contents of John P Sullivan LCSW-R are for informational purposes only.