SearchNew York103T00000X

Jacqueline Valentino Sullivan, PHD

NPI 1679814123 · on the registry since 2013 · sole proprietor

Practice

Address
5 Meadow Ln
Bayville, NY 11709
Phone
(516) 628-2823
Clinicians at this address
2

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-08

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