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Individual

SARAH DANIELLE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
905 GREENE COUNTY OFFICE BLDG, CAIRO, NY 12413-2868
(518) 622-9163
Mailing address
31 FABRELLO LN, PINE PLAINS, NY 12567-5412
(845) 489-8295

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14506
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406723
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F406723-01
NYS NP LICENSE
NY
Enumeration date
02/06/2025
Last updated
03/04/2025
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