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Jenna Sullivan

NPI 1588106686 · on the registry since 2016 · sole proprietor

Practice

Address
1813 E 33rd St
Brooklyn, NY 11234
Phone
(718) 775-0865

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-07

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