MICHAEL SULLIVAN
Social Worker
Active
Individual
NPI: 1366918617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 087166 (NY) |
Frequently Asked Questions
NPI 1366918617 is the National Provider Identifier for MICHAEL SULLIVAN, a Social Worker provider located in Ithaca, NY. This NPI was enumerated on October 15, 2018.
MICHAEL SULLIVAN practices at 403 1/2 HECTOR ST, Ithaca, NY 14850.
Quick Facts
- NPI
- 1366918617
- Type
- Individual
- Enumerated
- Oct 15, 2018
- Last Updated
- Apr 27, 2019
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