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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN SULLIVAN, DPT

Active Sole Proprietor

DR. JUSTIN SULLIVAN, DPT is a Physical Therapy Assistant healthcare provider located in MONROE, New York. NPI 1467632919 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MONROE, NY

Registration Details

NPI Number
1467632919
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2007 (18.762611220532 yrs)
Last Updated
Dec 29, 2011
Licenses
40QA01265000 (NJ)
62 033294 (NY)
Sole Proprietor
Yes

Practice Information

Address
360 STATE ROUTE 17M STE 4
MONROE, NY, 109503444
Browse NY providers · Browse ZIP 10950
Phone
8458100078
Fax
8452622466
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MONROE, NY

Name Credential NPI
CARYN LEVINE DINETZ LPT 1316925019
JOCELYN B PACATANG LPT 1700891157
DEANNA M SMITH P.T. 1518979939
MR. NEIL ALAN WEINSTEIN P.T. 1639289994
MARIBETH SARNO PT 1619044070
MR. MITCHELL JOSEPH KORN P.T. 1255494811
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.