Dba Sullivan Arc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

002976-1 Issued in NY

Legal business name

DBA SULLIVAN ARC

Practice address

162 E Broadway
Monticello, NY 12701-8815

Phone

(845) 796-1350

Fax

(845) 796-1647

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John J Schwartz

Title

Executive Director

Phone

(845) 796-1350

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1225298623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127018815",
            "telephone_number": "845-796-1350",
            "fax_number": "845-796-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127018815",
            "telephone_number": "845-796-1350",
            "fax_number": "845-796-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA SULLIVAN ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-796-1350"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "002976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Daniels
• Aimee Davanzo
• Emily Ann Davies, OTR/L
• Anthony Davis
• Jolyon Davis
• Andrew De la Mata, PA-C
• Michael Pietro Delrosso
• Jenny K Dembergh, PT
• Veronica Depolito, LCSW
• Jessica Destime

• Developmentally Disabled Services Day Training Agency in Monticello, NY
• Providers in Monticello, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.