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Contact Information

NANCY A. SULLIVAN, LCSW
159-13 HORACE HARDING EXPRESSWAY
FRESH MEADOWS, NY11365
 Phone: 917-751-5952
 Fax: 718-460-5488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for NANCY A. SULLIVAN, LCSW

NPI # 1285076414
LBN Legal business name NANCY A. SULLIVAN, LCSW
Authorized official NANCY SULLIVAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2013
Last updated 07/30/2013 - About 13 years ago
Identifiers
NY License # 075477
NY Medicaid 00244019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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