Individual
MRS. KAREN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
349 ROSE AVE, STATEN ISLAND, NY 10306-4327
(718) 668-0650
Mailing address
349 ROSE AVE, STATEN ISLAND, NY 10306-4327
(718) 668-0650
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1738
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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