Individual
MARY ANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
444 W BEECH ST, LONG BEACH, NY 11561-3126
(914) 573-1344
Mailing address
444 W BEECH ST, LONG BEACH, NY 11561-3126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963162
NY
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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