Kathleen Sullivan, DO | |
1000 Montauk Hwy, West Islip, NY 11795-4927 | |
(631) 376-4444 | |
Not Available |
Full Name | Kathleen Sullivan |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1000 Montauk Hwy, West Islip, 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 |
---|---|---|---|
1437566593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 274346-219 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Entity Name | Winthrop Community Medical Affiliates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Sullivan, DO 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: () - | Kathleen Sullivan, DO 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-4444 |
Dr. Emilissa Jane Domingo, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4045 | |
Dr. Joseph Umberto Artale, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-1000 | |
Dr. Genevieve Theresa Mcgerald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4045 | |
Mr. Lucas Walker Lee, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Geraldine Simons, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4000 | |
Sanford Glantz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Reine James, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4000 |