Individual
DIANNA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
910 ROUTE 109 STE A, LINDENHURST, NY 11757-1158
(631) 991-3235
(631) 631-3970
Mailing address
910 ROUTE 109 STE A, LINDENHURST, NY 11757-1158
(631) 991-3235
(631) 631-3970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
360123
NY
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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