NANAKO SHANNON SULLIVAN

BROOKLYN, NY
NPI1871277780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  034283)
Enumeration Date2023-06-12
Last Update Date2025-08-21
Business Address
NANAKO SHANNON SULLIVAN PA
760 BROADWAY
BROOKLYN, NY 11206-5383
Phone number: 718-963-8000
Mailing Address
NANAKO SHANNON SULLIVAN PA
760 BROADWAY
BROOKLYN, NY 11206-5383
Phone number:
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