Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Sullivan

Individual provider Early Intervention Provider Agency · NPI 1164778635

Jennifer Sullivan is an Early Intervention Provider Agency in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

51 Churchill Ln
Smithtown, NY 11787-4039
Phone: (163) 148-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 037715011 (NY)

Record details

NPI number1164778635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2012
Last updated in NPPESAugust 2, 2012
Mailing address51 Churchill Ln, Smithtown, NY 11787-4039

Other providers in Smithtown