Individual
AMANDA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 READE PL STE 3200, POUGHKEEPSIE, NY 12601-3944
(845) 471-4086
Mailing address
560 WHITE PLAINS RD STE 500, TARRYTOWN, NY 10591-5112
(914) 333-5800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002496
NY
Other
Enumeration date
07/22/2013
Last updated
08/26/2013
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