SearchNew York122300000X

Alyssa Sullivan

NPI 1699238691 · on the registry since 2019 · sole proprietor

Practice

Address
1000 Transit Way
Brockport, NY 14420
Phone
(585) 636-0555
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York