Individual
DR. LINDA IRENE MANDIC O SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10 SPRING ST, TILLSON, NY 12486
(845) 658-9345
(845) 339-2143
Mailing address
10 SPRING STREET, TILLSON, NY 12486
(845) 658-9345
(845) 339-2143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004812
NY
Other
Enumeration date
03/01/2007
Last updated
09/07/2023
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