Most Relevant Information
Provider Data
| NPI Number: | 1003046954 |
| Provider Name: | SARAH M SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 008449-1 |
Most Important Dates
| Enumeration Date: | 07/24/2009 |
| Last Updated: | 07/24/2009 |
Provider Practice Location
152 BAY ST
GLENS FALLS
NY
128012329
Practice Location Phone/Fax
| Phone: | 5187924140 |
| Fax: | 5187929008 |
Provider Mailing Location
152 BAY ST
GLENS FALLS
NY
128012329
Provider Mailing Phone/Fax
| Phone: | 5187924140 |
| Fax: | 5187929008 |