Dr Theresa Paulette Sullivan, AUD is a
Audiologist based in Lake Katrine, New York. Dr Theresa Paulette Sullivan is licensed to practice in New York (license number 001487) and her current practice location is
250 Tuytenbridge Rd, Lake Katrine, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 336-7235.
NPI number for Dr Theresa Paulette Sullivan is 1205055076 and her current mailing address is 513 Pine Rd, Copake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205055076.
Healthcare Provider's Profile
| Full Name | Dr Theresa Paulette Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 250 Tuytenbridge Rd, Lake Katrine, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205055076
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 01/25/2011
Medical Identifiers
Medical identifiers for Dr Theresa Paulette Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205055076 | NPI | - | NPPES |
| 00473001 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 001487 (New York) | Primary |
| 235Z00000X | Speech-language Pathologist | 001886 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theresa Paulette Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theresa Paulette Sullivan, AUD
513 Pine Rd,
Copake, NY 12516-1109
Ph: (518) 329-5761 | Dr Theresa Paulette Sullivan, AUD
250 Tuytenbridge Rd,
Lake Katrine, NY 12449-5429
Ph: (845) 336-7235 |
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