Individual
JAMES P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
507 BENMOSCHE RD, MONTICELLO, NY 12701
(845) 794-1400
(845) 707-8115
Mailing address
PO BOX 840, HARRIS, NY 12742-0840
(845) 794-1400
(845) 707-8115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002428-1
NY
Other
Enumeration date
01/11/2012
Last updated
06/20/2012
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