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Organization
SHARON SULLIVAN PT MS PC
Active
Organization
SHARON SULLIVAN PT MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ELIZABETH SULLIVAN (PHYSICAL THERAPIST)
(631) 878-7012
Entity
Organization
Contact information
Practice address
225 MONTAUK HWY, SUITE 109, MORICHES, NY 11955-1425
(631) 878-7012
(631) 878-7015
Mailing address
225 MONTAUK HWY, SUITE 109, MORICHES, NY 11955-1425
(631) 878-7012
(631) 878-7015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015098
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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