Individual
MRS. PATRICIA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP/FNP
Contact information
Practice address
4 WEBER AVE, MALVERNE, NY 11565-1742
(516) 599-5885
(516) 599-5442
Mailing address
77 KIRKWOOD ST, LONG BEACH, NY 11561
(516) 459-2497
(516) 889-0159
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3015201
NY
363LG0600X
Gerontology Nurse Practitioner
F3401241
NY
Other
Enumeration date
09/28/2006
Last updated
04/27/2016
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