Individual
MRS. LINDA JEAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 INGRASSIA RD, MIDDLETOWN, NY 10940-7244
(845) 341-0700
(845) 341-0788
Mailing address
10 MAPLE LANE, POBOX 226, WESTBROOKVILLE, NY 12785-0226
(845) 754-8324
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
205175-1
NY
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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