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Individual

MORGAN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
127 W MAIN ST, LE ROY, NY 14482-1317
(585) 768-2620
(585) 768-2694
Mailing address
127 W MAIN ST, LE ROY, NY 14482-1317
(585) 768-2620
(585) 768-2694

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639696
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307737
NY

Other

Enumeration date
04/07/2016
Last updated
06/29/2023
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