Individual
DR. JOSEPH C SULLIVAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17 LEONARD ST, SMITHTOWN, NY 11787-1015
(917) 655-0316
Mailing address
175 ROUTE 25A STE 5, SETAUKET, NY 11733-2947
(631) 702-5115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
18970
CA
111N00000X
Chiropractor
Primary
X011979
NY
Other
Enumeration date
11/03/2006
Last updated
10/09/2019
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