Individual
ELINE SULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-5000
Mailing address
153 BIRCH BROOK RD, BRONXVILLE, NY 10708-2021
(646) 731-4221
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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