Individual
RACHEL ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7697
(718) 590-1800
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7697
(718) 590-1800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802899
NY
367A00000X
Advanced Practice Midwife
Primary
002193
NY
Other
Enumeration date
09/13/2022
Last updated
02/14/2023
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