Individual
MEAGAN M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 ROUTE 109 STE A, LINDENHURST, NY 11757-1158
(631) 991-3235
(631) 397-0919
Mailing address
910 ROUTE 109 STE A, LINDENHURST, NY 11757-1158
(631) 383-9967
(631) 397-0919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
309601
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309601
NY
363LG0600X
Gerontology Nurse Practitioner
309601
NY
Other
Enumeration date
03/22/2020
Last updated
07/12/2024
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