MICHAEL DAVID SULLIVAN

ITHACA, NY
NPI1366918617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  087166)
Enumeration Date2018-10-15
Last Update Date2019-04-27
Business Address
MICHAEL DAVID SULLIVAN
403 1/2 HECTOR ST
ITHACA, NY 14850-2025
Phone number: 724-704-1719
Mailing Address
MICHAEL DAVID SULLIVAN
403 1/2 HECTOR ST
ITHACA, NY 14850-2025
Phone number: 724-704-1719