Individual
STEPHANIE SMITH-SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 SULLIVAN ST, BROOKLYN, NY 11231-1601
(646) 724-0295
Mailing address
74 SULLIVAN ST, BROOKLYN, NY 11231-1601
(646) 724-0295
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
674851
NY
Other
Enumeration date
06/29/2023
Last updated
08/17/2023
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