National Provider Identifier
Christine Sullivan
Christine Sullivan is listed in the NPPES registry with a primary specialty of Optician in Newark, NY and a listed phone number of (315) 331-8921.
Profile Overview
- NPI
- 1316018716
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- November 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1210 Driving Park Ave
- Newark, NY 14513-1057
Phone: (315) 331-8921
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1316018716
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Christine
- Mailing Street Address
- 1210 Driving Park Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1057
- Mailing Country
- US
- Mailing Phone
- (315) 331-8921
- Mailing Fax
- (315) 331-8231
- Practice Street Address
- 1210 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1057
- Practice Country
- US
- Practice Phone
- (315) 331-8921
- Practice Fax
- (315) 331-8231
- Enumeration Date
- November 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)