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1649988106
COLLEEN ELIZABETH SULLIVAN
VALLEY STREAM, NY
NPI
1649988106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 049743)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
COLLEEN ELIZABETH SULLIVAN DPT
153 E MERRICK RD
VALLEY STREAM, NY 11580-5925
Phone number: 516-400-9003
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Mailing Address
COLLEEN ELIZABETH SULLIVAN DPT
225 N GROVE ST
VALLEY STREAM, NY 11580-3411
Phone number: 516-578-5982
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