Sullivan, Amy Iris
Sullivan, Amy Iris is an sole proprietor health care provider with primary practice located at 939 Route 146 Ste 620 , Clifton Park NY 12065-3629. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sullivan, Amy Iris can be contacted via phone (518) 925-7217.Contact Information
Primary practice address
939 Route 146 Ste 620
Clifton Park NY 12065-3629
Phone: (518) 925-7217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 404245 | New York |
Profile Details
| NPI number | 1194463398 |
|---|---|
| LBN Legal business name | Sullivan, Amy Iris |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2022 |
| Last updated | Jan 21st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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