Individual
NICKOLAS ALLAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
6253 STATE ROUTE 31, CICERO, NY 13039-8730
(315) 452-1600
(315) 288-5434
Mailing address
6253 STATE ROUTE 31, CICERO, NY 13039-8730
(315) 452-1600
(315) 288-5434
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000056727
NY
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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