Individual
MISS BRIANA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
475 E MAIN ST, SUITE 100, EAST PATCHOGUE, NY 11772-3121
(516) 754-1155
Mailing address
1027 VAN BUREN AVE, FRANKLIN SQUARE, NY 11010-2119
(516) 754-1155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095173
NY
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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