Individual
MR. CHRISTOPHER E. O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
(631) 698-1552
Mailing address
400 HORSEBLOCK RD, SUITE E, FARMINGVILLE, NY 11738-1252
(631) 698-1552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020494
NY
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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