National Provider Identifier
Deness Renique Sullivan
Deness Renique Sullivan is listed in the NPPES registry with a primary specialty of Counselor in Tonawanda, NY and a listed phone number of (716) 463-2919.
Profile Overview
- NPI
- 1730980798
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- March 24, 2025
- Last Updated
- March 24, 2025
Practice Location
- 1376 Niagara Falls Blvd
- Tonawanda, NY 14150-8431
Phone: (716) 463-2919
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1730980798
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Deness
- Middle Name
- Renique
- Mailing Street Address
- 1376 Niagara Falls Blvd
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-8431
- Mailing Country
- US
- Mailing Phone
- (716) 463-2919
- Mailing Fax
- (716) 302-8326
- Practice Street Address
- 1376 Niagara Falls Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8431
- Practice Country
- US
- Practice Phone
- (716) 463-2919
- Enumeration Date
- March 24, 2025
- Last Updated
- March 24, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 24, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)