Individual
CAROL A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
50 WILLOW ST, GARDEN CITY, NY 11530-6315
(516) 294-0253
(516) 640-5115
Mailing address
50 WILLOW ST, GARDEN CITY, NY 11530-6315
(516) 294-0253
(516) 640-5115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000649-1
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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