Justin Sullivan (NPI# 1467632919, PAC ID# 7618066986) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1467632919 |
| PAC ID by PECOS | 7618066986 |
| Professional Enrollment ID | I20120313000203 |
| Full Name | Justin Sullivan |
| Organization Legal Name | JUSTIN SULLIVAN PT PLLC |
| Address |
360 State Route 17m 4 Monroe NY 10950-3444 |
| Phone Number | 8458100078 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7719146687 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 360 State Route 17m 4, Monroe, NY 10950-3444 | 8458100078 | JUSTIN SULLIVAN PT PLLC |
| Organization Legal Name | JUSTIN SULLIVAN PT PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Denoyelles | Physical Therapy | Justin Sullivan Pt Pllc | 360 State Route 17m 4, Monroe, NY 10950-3444 |
| Street Address |
360 STATE ROUTE 17M 4 |
| City | MONROE |
| State | NY |
| Zip | 10950-3444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Denoyelles | Physical Therapy | Justin Sullivan Pt Pllc | 360 State Route 17m 4, Monroe, NY 10950-3444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caro C Hawthorne | Clinical Social Worker | 3 Winding Lane, Newburg, NY 10950 | |
| Beth G Louie | Allergy/immunology | 70 Gibbert St, Monroe, NY 10950 | |
| Leslie Green | Ophthalmology | Eye Physicians of Orange County PC | 845 State Route 17m, Monroe, NY 10950-1606 |
| Elliot Davis | Clinical Social Worker | 505 State Route 208 16, Monroe, NY 10950-1607 | |
| Jesse Cullen-dupont | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Alyssa M Herrington | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Lori A Schneider | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Suzanne Sjem | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Dorian K Shann | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Georgiana Nastu | Physical Therapy | Monroe Physical Therapy Wellness, Pllc | 505 State Route 208 30, Monroe, NY 10950-1607 |
| Find all physicians in zip 10950 | |||
| City | MONROE |
| Zip Code | 10950 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MONROE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Justin Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.