Sullivan, Justin

Sullivan, Justin is an sole proprietor health care provider with primary practice located at 360 State Route 17M Ste 4 , Monroe NY 10950-3444. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Justin can be contacted via phone (845) 810-0078.

Contact Information

Primary practice address
360 State Route 17M Ste 4 Monroe NY 10950-3444
Phone: (845) 810-0078
Fax: (845) 262-2466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01265000 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 62 033294 New York

Profile Details

NPI number 1467632919
LBN Legal business name Sullivan, Justin
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2007
Last updated Dec 29th, 2011 - about 15 years ago

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.

Request for update

Popular Providers