Individual
MRS. AMY LYNN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 AVON RD, GENESEO, NY 14454-9721
(585) 243-3450
Mailing address
1870 FACTORS WALK, IONIA, NY 14475-9721
(585) 424-0813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008553-1
NY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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