Whalio Doctors

NPI 1083942908

Irene Anne Sullivan, ANP

Practitioner Nurse Practitioner Roslyn, NY

Practice location

Address
100 Port Washington Blvd, Roslyn, NY 11576-1353
Phone
(516) 562-6000
Mailing address
100 Port Washington Blvd, Roslyn, NY 11576

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 302076 (NY)

Registry record

NPI
1083942908
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Dec 2009
Record last updated
4 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.