Sullivan, Ellen J
Sullivan, Ellen J is an individual health care provider with primary practice located at 21414 Spencer Ave , Queens Village NY 11427-1821. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sullivan, Ellen J can be contacted via phone (718) 468-1812.Contact Information
Primary practice address
21414 Spencer Ave
Queens Village NY 11427-1821
Phone: (718) 468-1812
Fax: (718) 468-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 036823 | New York |
Profile Details
| NPI number | 1598759789 |
|---|---|
| LBN Legal business name | Sullivan, Ellen J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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