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1790523082
DANIEL JACOB SULLIVAN
SARATOGA SPRINGS, NY
NPI
1790523082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 406165)
Enumeration Date
2024-07-19
Last Update Date
2024-07-19
Business Address
DANIEL JACOB SULLIVAN PMHNP
30 CRESCENT AVE
SARATOGA SPRINGS, NY 12866-5142
Phone number: 518-584-3600
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Mailing Address
DANIEL JACOB SULLIVAN PMHNP
34 FRIAR TUCK WAY
SARATOGA SPRINGS, NY 12866-6164
Phone number: 518-222-5586
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