Individual
MARGARET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
16 ROCKY WOOD DR, SANDY HOOK, CT 06482-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309711-01
NY
Other
Enumeration date
01/26/2021
Last updated
06/29/2023
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