Individual
DANIEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
372 FULLERTON AVE STE 6, NEWBURGH, NY 12550-3744
(508) 414-3215
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020298
NY
Other
Enumeration date
04/20/2010
Last updated
04/29/2026
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