Individual
MISS JACQUELINE MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
609 CANTON ST, OGDENSBURG, NY 13669-3811
(315) 393-1018
(315) 393-1075
Mailing address
609 CANTON STREET, OGDENSBURG, NY 13669-0000
(315) 393-1019
(315) 393-1075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021153
NY
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us