Individual
MRS. ALISON M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
255 LAFAYETTE AVE, NUTRITION SERVICES, SUFFERN, NY 10901-4812
(845) 368-5016
(845) 368-5337
Mailing address
116 WASHINGTON AVE, SUFFERN, NY 10901-6247
(845) 357-2930
(845) 357-2930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
721063
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/15/2010
Last updated
04/15/2010
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