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Contact Information

JENNIFER M SULLIVAN
88 SLOCUM AVE
TAPPAN, NY10983-2610
 Phone: 914-329-4982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Specialist

174400000X
 

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for JENNIFER M SULLIVAN · (Female)

NPI # 1720470552
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2015
Last updated 09/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
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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