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1942269584
SUSAN SULLIVAN
HUNTINGTON, NY
NPI
1942269584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400044-1)
Enumeration Date
2006-03-22
Last Update Date
2016-01-15
Business Address
Ms. SUSAN SULLIVAN NP
141 E MAIN ST
HUNTINGTON, NY 11743-2852
Phone number: 631-351-8374
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Mailing Address
Ms. SUSAN SULLIVAN NP
141 E MAIN ST
HUNTINGTON, NY 11743-2852
Phone number: 631-351-8374
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