Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE R. SULLIVAN, PTA
Active Sole ProprietorNursing Facility/Intermediate Care Facility · MIDDLETOWN, NY
Registration Details
- NPI Number
- 1659582377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2007 (18.91026733583 yrs)
- Last Updated
- Jul 8, 2007
- License
-
004610-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 DUNNING RDMIDDLETOWN, NY, 109402243Browse NY providers · Browse ZIP 10940
- Phone
- 8453430801
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
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.