Individual
MRS. EMMA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06873798
—
NY
Enumeration date
08/06/2021
Last updated
10/23/2025
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