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Contact Information

TRACY SULLIVAN, NP
3001 EXPRESSWAY DRIVE NORTH
SUITE #116
ISLANDIA, NY11749
 Phone: 631-292-6747
 Fax: 631-292-6767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Perinatal

363LP1700X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACY SULLIVAN · (Female)

NPI Number 1902989957
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/23/2006
Last updated 01/23/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F390010
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
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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