Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Sullivan

Individual provider Specialist · NPI 1881956472

Jennifer Sullivan is a Specialist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

4663 189th St
Flushing, NY 11358-3834
Phone: (718) 357-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 626957121 (NY)

Record details

NPI number1881956472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 11, 2012

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