Alyssa Sullivan
Alyssa Sullivan is a Student in an Organized Health Care Education/Training Program in Brockport, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1000 Transit WayBrockport, NY 14420-3008
Phone: (585) 636-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 061188 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699238691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2019 |
| Last updated in NPPES | January 9, 2021 |
| Certification date | December 30, 2020 |
| Mailing address | 1000 Transit Way, Brockport, NY 14420-3008 |
Other providers in Brockport
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MS. Kelsey Eleanor Izzo, MD
300 W Ave, Brockport, NY 14420-1118 · (585) 376-3905
-
Corey Everett Lucey
350 New Campus Dr, Brockport, NY 14420-2997 · (585) 395-2211
-
Danielle Renodin-Mead, DO
300 W Ave, Brockport, NY 14420-1118 · (585) 637-3905
-
Kayla Staquet
350 New Campus Dr, Brockport, NY 14420-2997 · (585) 395-2211