Individual
JESSICA SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1510 JERICHO TPKE, NEW HYDE PARK, NY 11040-4730
(914) 819-8095
Mailing address
1510 JERICHO TPKE, NEW HYDE PARK, NY 11040-4730
(914) 819-8095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672384-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
672384
NY
Other
Enumeration date
07/07/2014
Last updated
12/18/2023
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