SearchNew York163WG0000X

Mariah Sullivan, RN

NPI 1053252551 · on the registry since 2026 · sole proprietor

Practice

Address
6537 Johnson Rd
Glenfield, NY 13343
Phone
(315) 571-4016
Clinicians at this address
4

Additional practice sites

  • 1738 Thayer Hill Rd, Boonville, NY

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York