Individual
COLLEEN O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 OAK RD, NEW CITY, NY 10956-1742
(845) 638-4532
Mailing address
50 OAK RD, NEW CITY, NY 10956-1742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
415196-1
NY
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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