Individual provider · Type 1 NPI

Kristen Sullivan, PA

Physician Assistant · Roslyn, NY

NPI number 1326741604 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Mailing address

21722 5th Ave
Breezy Point, NY 11697-1566

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X029776 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1326741604

Kristen Sullivan, PA's National Provider Identifier is 1326741604, issued on Mar 24, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roslyn, NY. The record was last updated on Mar 24, 2023.