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Contact Information

MEGAN A SULLIVAN
270-05 76TH AVE
NEW HYDE PARK, NY11040
 Phone: 718-470-7110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for MEGAN A SULLIVAN · (Female)

NPI Number 1790272466
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2018
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 064286
  • NY License # 331335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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