Sullivan, Irene Anne

Sullivan, Irene Anne is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Irene Anne can be contacted via phone (516) 562-6000.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 302076 New York

Profile Details

NPI number 1083942908
LBN Legal business name Sullivan, Irene Anne
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2009
Last updated Dec 4th, 2009 - about 16 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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