ALICE R. SULLIVAN PTA
NPI 1659582377
Nursing Facility/Intermediate Care Facility in Middletown, NY

Q: What is Alice Sullivan's NPI number?

The NPI number for Alice Sullivan is 1659582377. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Alice Sullivan's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Alice Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2007

121 DUNNING RD, MIDDLETOWN, NY 10940(845) 343-0801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alice R. Sullivan Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE R. SULLIVAN PTA (NPI 1659582377) is an individual nursing facility/intermediate care facility provider in Middletown, New York, licensed in New York (004610-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1659582377

Entity TypeIndividualFemale

Primary Taxonomy313M00000X

Provider Legal NameALICE R. SULLIVANCredential: PTA

Location Address121 DUNNING RDMiddletown, NY 10940-2243

Mailing Address68 Hunt DrFlorida, NY 10921-3015 · (845) 651-7396

Phone(845) 343-0801

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659582377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in NY · 004610-1

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

121 DUNNING RD, Middletown, NY 10940

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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