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1528783818
BRIDGET ANNE SULLIVAN
NEW YORK, NY
NPI
1528783818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029067)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
BRIDGET ANNE SULLIVAN PA
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
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Mailing Address
BRIDGET ANNE SULLIVAN PA
225 N GROVE ST
VALLEY STREAM, NY 11580-3411
Phone number: 516-578-7120
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