Michael David Sullivan
Michael David Sullivan is a Social Worker in Ithaca, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
403 1/2 Hector StIthaca, NY 14850-2025
Phone: (724) 704-1719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 087166 (NY) |
|---|
Record details
| NPI number | 1366918617 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2018 |
| Last updated in NPPES | April 27, 2019 |
| Mailing address | 403 1/2 Hector St, Ithaca, NY 14850-2025 |
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