Millicent E King-sullivan, FNP | |
6 Orient St, Sparkill, NY 10976-1404 | |
(845) 494-5702 | |
Not Available |
Full Name | Millicent E King-sullivan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6 Orient St, Sparkill, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831861434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F347790-01 (New York) | Primary |
Entity Name | Care365 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437774882 PECOS PAC ID: 5496137325 Enrollment ID: O20220809001368 |
Mailing Address | Practice Location Address |
---|---|
Millicent E King-sullivan, FNP 6 Orient St, Sparkill, NY 10976-1404 Ph: (845) 494-5702 | Millicent E King-sullivan, FNP 6 Orient St, Sparkill, NY 10976-1404 Ph: (845) 494-5702 |
Mary J Buckley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Route 340, Dominican Convent, Sparkill, NY 10976 Phone: 914-954-6822 Fax: 845-359-3201 | |
Elizabeth Marie Rooney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 Van Ter, Sparkill, NY 10976 Phone: 845-642-2090 | |
Marilyn Eleanor Dunn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Route 340, Medical Rm 312, Sparkill, NY 10976 Phone: 845-359-3311 Fax: 845-359-3310 |