# NORMA SULLIVAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326407263
- **Authorized official:** MS. NORMA CECILIA SULLIVAN (REGISTERED NURSE)
- **Authorized official phone:** (718) 592-8275

## Contact information

- **Practice address:** 6115 98TH ST APT 1J, REGO PARK, NY 11374-1407
- **Practice address phone:** (718) 592-8275
- **Mailing address:** 6115 98TH ST APT 1J, REGO PARK, NY 11374-1407
- **Mailing address phone:** (718) 592-8275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 315747 | NY | Yes |

## Other

- **Enumeration date:** 02/21/2016
- **Last updated:** 04/15/2016