Individual
ANGELIC MAURAE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4514 FORT HAMILTON PKWY, BROOKLYN, NY 11219-2410
(718) 435-8800
(718) 435-7624
Mailing address
4514 FORT HAMILTON PKWY, BROOKLYN, NY 11219-2410
(718) 435-8800
(718) 435-7624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046157
NY
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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