Doctor Name: | MS. CATHERINE J SULLIVAN |
NPI Number: | 1134304645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F340126 |
Business Practice Address: | 5537 Expressway Dr N Holtsville, NY - 117421316 |
Business Phone Number: | 6317583336 |
Business Fax Number: | |
Mailing Address: | 5537 Expressway Dr N, HOLTSVILLE |
State: | NY |
Postal Code: | 117421316 |
Phone Number: | 6317583336 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | F340126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |