ITA O'SULLIVAN


Address: 25 Central Park West, Suite 1l, New York, NY 10023
Phone: 6462345502

ITA O'SULLIVAN (NPI# 1063505220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063505220
Entity Type Individual
Full Name ITA O'SULLIVAN
Credential NP
Practice Address 25 Central Park West, Suite 1l
New York
NY 10023
Mailing Address 27 Crescent Ave
Rye
NY 10580
Practice Telephone 6462345502
Practice Fax Number 9149671763
Enumeration Date 2006-10-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
F400205 NY Nursing Service Providers

Office Location

Street Address 25 CENTRAL PARK WEST, SUITE 1L
City NEW YORK
State NY
Zip Code 10023

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1396088738 Gladys Mitchell Registered Nurse 485 Lenox Ave, #6d, New York, NY 10037-2402 2013-04-04
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Competitor

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City NEW YORK
Zip Code 10023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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