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Individual

JOAN MARIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8077
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
382879
NY

Other

Enumeration date
03/31/2007
Last updated
07/08/2007
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