Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 025424 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 025424 | NY |
NPI | 1174118160 |
---|---|
Provider Name | Dr. Erin Kathleen Sullivan |
First Address | Brooklyn, NY 11222-5704 |
Second Address | Brooklyn, NY 11206-2580 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2021 |
Last Update Date | 02/03/2021 |