Individual
MS. DEBORAH ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1250 BROADWAY, 22ND FLOOR, NEW YORK, NY 10001-3701
(212) 609-7840
(646) 388-0279
Mailing address
1250 BROADWAY, 22ND FLOOR, NEW YORK, NY 10001
(212) 609-7840
(212) 564-8937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401311-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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