Alyssa Sullivan
Alyssa Sullivan is a Student in an Organized Health Care Education/Training Program in Brockport, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Brockport, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 061188 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699238691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2019 |
| Last updated in NPPES | January 9, 2021 |
| Certification date | December 30, 2020 |
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