Individual
MS. JENNIFER P SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
33 ARLINGTON AVE STE 4, POUGHKEEPSIE, NY 12603-1603
(845) 473-5952
Mailing address
33 ARLINGTON AVE STE 4, POUGHKEEPSIE, NY 12603-1603
(845) 473-5952
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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