Individual provider · Type 1 NPI

Joseph Kenneth Sullivan

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

NPI number 1629659149 Active

Practice location

One Gustave L. Levy Place
New York, NY 10029

Call (212) 241-5871 Map

Mailing address

One Gustave L. Levy Place, Box 1259
New York, NY 10029

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 1629659149

Joseph Kenneth Sullivan's National Provider Identifier is 1629659149, issued on Apr 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 16, 2021.