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Individual

ALLISON SULLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8630
Mailing address
1985 MARCUS AVE, NEW HYDE PARK, NY 11042-2008
(718) 559-0516
(718) 559-0516

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125533
NY

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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