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

Jennifer Sullivan

Individual provider Specialist · NPI 1881956472

Jennifer Sullivan is a Specialist in Flushing, 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

4663 189th St
Flushing, NY 11358-3834
Phone: (718) 357-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 626957121 (NY)

Record details

NPI number1881956472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 11, 2012
Mailing address4663 189th St, Flushing, NY 11358-3834

Other providers in Flushing