SearchNew York103TC0700X

Lakeasha Sullivan, PH.D

NPI 1720265796 · on the registry since 2008 · sole proprietor

Practice

Address
304 W 115th St
2a
New York, NY 10026
Phone
(212) 222-1754

Additional practice sites

  • 1425 Mcfarland Ave, Rossville, GA

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103T00000X
Licence states on file
NY, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-19

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