Individual
MRS. ANN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
Mailing address
300 GLEN HOLLOW DR, HOLTSVILLE, NY 11742-2421
(631) 654-8171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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