JACQUELINE GLORIA SULLIVAN

BRONX, NY
NPI1104051549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-05-28
Last Update Date2009-05-28
Business Address
Mrs. JACQUELINE GLORIA SULLIVAN PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
Mrs. JACQUELINE GLORIA SULLIVAN PA
232 SPRINGMEADOW DR UNIT C
HOLBROOK, NY 11741-4137
Phone number: