Individual provider · Type 1 NPI

Jaysen Sullivan

Specialist · Staten Island, NY

NPI number 1700596897 Active

Practice location

683 Henderson Ave
Staten Island, NY 10310-1575

Call (718) 682-1831 Map

Mailing address

31 New St
Staten Island, NY 10302-1540

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X$$$$$$$$$ (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Staten Island

See all in Staten Island →

About NPI 1700596897

Jaysen Sullivan's National Provider Identifier is 1700596897, issued on Nov 29, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Nov 29, 2022.