Individual
MRS. KATIE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
230 BEACH 102ND ST STE 2B, ROCKAWAY PARK, NY 11694-2871
(347) 497-6200
Mailing address
230 BEACH 102ND ST STE 2B, ROCKAWAY PARK, NY 11694-2871
(347) 497-6200
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
142396
NY
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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