Mr. Jaysen Sullivan
Mr. Jaysen Sullivan is a Specialist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
683 Henderson AveStaten Island, NY 10310-1575
Phone: (718) 682-1831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence $$$$$$$$$ (NY) |
|---|
Record details
| NPI number | 1700596897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 29, 2022 |
| Last updated in NPPES | November 29, 2022 |
| Certification date | November 29, 2022 |
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