Individual
MRS. CHRISTINE P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 FRANKLIN AVE, STE 150, GARDEN CITY, NY 11530
(516) 456-7804
(516) 746-6170
Mailing address
27 A STORE HILL RD, OLD WESTBURY, NY 11568
(516) 456-7804
(516) 746-6170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0502501
NY
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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