Individual
BRIAN H SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 ROUTE 303, VALLEY COTTAGE, NY 10989-5906
(845) 267-2172
Mailing address
140 ROUTE 303, VALLEY COTTAGE, NY 10989-5906
(845) 267-2172
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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