Mrs. Tara Marie Sullivan
Mrs. Tara Marie Sullivan is a Specialist in Whitestone, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
14911 12th AveWhitestone, NY 11357-1725
Phone: (516) 576-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1718799 (NY) |
|---|
Record details
| NPI number | 1205199601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 20, 2012 |
| Last updated in NPPES | June 20, 2012 |
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