Individual
ITA O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 SCHOOL ST STE C, RYE, NY 10580-3090
(646) 234-5502
(914) 939-0970
Mailing address
27 CRESCENT AVE, RYE, NY 10580
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
F400205
NY
Other
Enumeration date
10/02/2006
Last updated
11/24/2025
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