Robert C. Sullivan, MS, ATC
Specialist/Technologist, Athletic Trainer in Hempstead, NY. Individual provider (NPI-1).
NPI number1063123701
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1063123701
- Entity type
- Individual (NPI-1)
- Name
- Robert C. Sullivan
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 12, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
120 Hofstra University Rm 211Hempstead, NY 11549-1200
Phone 631-463-1773
Mailing address
120 Hofstra University Rm 211Hempstead, NY 11549-1200
Phone 631-463-1773
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All 14 Athletic Trainer providers in Hempstead · All 1,340 providers in Hempstead
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