Individual provider · Type 1 NPI

John Sullivan

Student in an Organized Health Care Education/Training Program · Huntington, NY

NPI number 1114839099 Active

Practice location

790 Park Ave
Huntington, NY 11743-4516

Call (631) 427-3700 Map

Other practice locations

  • 320 Carleton Ave, Central Islip, NY 11722-4506 · (631) 663-4300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114839099

John Sullivan's National Provider Identifier is 1114839099, issued on Sep 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, NY. The record was last updated on Sep 17, 2026.