Individual
MS. CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.T
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5355
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5355
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014404
LICENSE
NY
Enumeration date
06/25/2007
Last updated
07/08/2007
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