Individual
AMY FULLER-SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
230 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5390
(518) 456-3268
Mailing address
398 BONNYVIEW LN, SCHENECTADY, NY 12306-6327
(518) 881-8625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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