Individual
ARTHUR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
109 N 12TH ST, BROOKLYN, NY 11249-1002
(516) 729-5655
Mailing address
1103 IRVING AVE, RIDGEWOOD, NY 11385-5744
(516) 729-5655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106691
NY
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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