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1447092671
CHARLES BRIAN SULLIVAN
ROCHESTER, NY
NPI
1447092671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F405913-01)
Enumeration Date
2024-06-10
Last Update Date
2024-07-09
Business Address
CHARLES BRIAN SULLIVAN PMHNP
130 S PLYMOUTH AVE
ROCHESTER, NY 14614-2209
Phone number: 585-753-4183
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Mailing Address
CHARLES BRIAN SULLIVAN PMHNP
130 S PLYMOUTH AVE
ROCHESTER, NY 14614-2213
Phone number: 585-753-4183
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