Individual
DANIEL JOHN OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-6400
Mailing address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-6400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269401
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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