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Individual

MS. DENISE LUISE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER BUILDING 1 ROOM 1226, BRONX, NY 10461-1138
(718) 918-6867
(718) 918-7902
Mailing address
2217 SULTANA DR, YORKTOWN HEIGHTS, NY 10598-3704

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304055
NY

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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