Kathleen Sullivan, RN is a
Registered Nurse based in N Syracuse, New York. Kathleen Sullivan is licensed to practice in New York (license number 342220) and her current practice location is
187 Northern Concourse, N Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 425-5397.
NPI number for Kathleen Sullivan is 1639564438 and her current mailing address is 4304 E Genesee St Fl 2, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639564438.
Provider's Profile
| Full Name | Kathleen Sullivan |
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| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 187 Northern Concourse, N Syracuse, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639564438
- Provider Enumeration Date: 03/30/2015
- Last Update Date: 08/06/2015
Medical Identifiers
Medical identifiers for Kathleen Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639564438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 342220 (New York) | Primary |
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. Kathleen 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 |
|---|
Kathleen Sullivan, RN
4304 E Genesee St Fl 2,
Syracuse, NY 13214-2132
Ph: (315) 762-2211 | Kathleen Sullivan, RN
187 Northern Concourse,
N Syracuse, NY 13212-4067
Ph: (315) 425-5397 |
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