Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE JOHN SULLIVAN III
ActiveRehabilitation Psychologist · RIVERHEAD, NY
Registration Details
- NPI Number
- 1992384200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2021 (5.0445992135253 yrs)
- Last Updated
- Apr 5, 2021
Practice Information
- Address
-
208 ROANOKE AVERIVERHEAD, NY, 119012706Browse NY providers · Browse ZIP 11901
- Phone
- 6313570173
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
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.