Individual
MRS. ALLYSON JACQUELINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2216
Mailing address
119 GLEN ELLYN WAY, ROCHESTER, NY 14618-1516
(585) 615-5832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
736251-1
NY
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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