Individual
MRS. CATHERINE M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 MYRTLE PL, EASTCHESTER, NY 10709-2010
(914) 779-1613
Mailing address
9 MYRTLE PL, EASTCHESTER, NY 10709-2010
(914) 779-1613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
425220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359902
—
NY
Enumeration date
06/15/2007
Last updated
07/09/2007
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