Individual
MRS. ELIZABETH ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
14 CAT RIDGE RD, NORTH SALEM, NY 10560-3300
(914) 262-0708
Mailing address
14 CAT RIDGE RD, NORTH SALEM, NY 10560-3300
(914) 262-0708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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