CHARLES BRIAN SULLIVAN

ROCHESTER, NY
NPI1447092671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F405913-01)
Enumeration Date2024-06-10
Last Update Date2024-07-09
Business Address
CHARLES BRIAN SULLIVAN PMHNP
130 S PLYMOUTH AVE
ROCHESTER, NY 14614-2209
Phone number: 585-753-4183
Mailing Address
CHARLES BRIAN SULLIVAN PMHNP
130 S PLYMOUTH AVE
ROCHESTER, NY 14614-2213
Phone number: 585-753-4183