Individual
BRENDAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8 CENTURY HILL DR, SUITE 201, LATHAM, NY 12110-2193
(518) 690-4406
Mailing address
PO BOX 14631, EMPIRE FITNESS & PT, PC, ALBANY, NY 12212-4631
(518) 690-4406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017907
NY
Other
Enumeration date
08/18/2005
Last updated
08/15/2013
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