Individual
ARTHUR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
355 FISHKILL AVE, BEACON, NY 12508-2061
(631) 647-9009
Mailing address
260 W MAIN ST STE 8, BAY SHORE, NY 11706-8322
(631) 647-9009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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