Individual
MISS CATHERINE MARY OSULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
82-68 164TH ST, JAMAICA, NY 11432
(718) 883-3225
(718) 883-6193
Mailing address
79-01 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
404700
NY
364SF0001X
Family Health Clinical Nurse Specialist
Primary
333800
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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