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COURTNEY LOUISE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 GUSTAVE LEVY PL., NEW YORK, NY 10029
(212) 241-3806
(212) 202-4590
Mailing address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-3300
(212) 202-4590

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
723317
NY
363LF0000X
Family Nurse Practitioner
Primary
346579
NY

Other

Enumeration date
08/10/2020
Last updated
11/12/2020
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