Michelle M. Sullivan

Physical Therapy Assistant · Newark, NY

Individual Active NPI

NPI number 1265761654

Practice location

150 Van Buren St
Newark, NY 14513-1238
Phone
(315) 331-7741
Fax
(315) 331-0566

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NPI record

NPI
1265761654
Entity type
Individual (Type 1)
Enumeration date
December 14, 2009
Last updated
December 14, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 7320 NY

About Michelle Sullivan

Michelle M. Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 150 Van Buren St, Newark, NY 14513-1238. The NPI number 1265761654 was assigned on December 14, 2009 and the record was last updated on December 14, 2009.

Michelle Sullivan lists a license in the registry: #7320 (NY) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michelle M. Sullivan?

The NPI number is 1265761654.

What is the phone number of Michelle Sullivan?

The phone number listed for the practice location is (315) 331-7741.

Where is Michelle Sullivan located?

150 Van Buren St, Newark, NY 14513-1238.

What is the taxonomy code for Michelle Sullivan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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