Individual
GINGER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC
Contact information
Practice address
20 MAIDEN LANE, PENN YAN, NY 14527-9317
(315) 368-0478
Mailing address
PO BOX 164, KEUKA PARK, NY 14478
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003931
NY
Other
Enumeration date
10/08/2008
Last updated
05/10/2012
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