KELLY SULLIVAN

PORT JEFFERSON STATION, NY
NPI1730595752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  676021-1)
Enumeration Date2014-07-10
Last Update Date2014-07-10
Business Address
KELLY SULLIVAN RN
8 JACQUELINE CT
PORT JEFFERSON STATION, NY 11776-3117
Phone number: 631-942-8510
Mailing Address
KELLY SULLIVAN RN
8 JACQUELINE CT
PORT JEFFERSON STATION, NY 11776-3117
Phone number: 631-942-8510
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