MS. JOAN LUCILLE SULLIVAN MA OTR CHT NPI 1164496931

NPI Information

NPI: 1164496931
Provider Name: MS. JOAN LUCILLE SULLIVAN, MA, OTR, CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
503 GRASSLANDS RD
SUITE 105
VALHALLA, NY
ZIP 10595
Phone: (914) 345-9133
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MS. Joan Lucille Sullivan, MA, OTR, CHT is a hand occupational therapist in Valhalla, NY. MS. Joan Lucille Sullivan, MA, OTR, CHT NPI is 1164496931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

503 GRASSLANDS RD
SUITE 105
VALHALLA, NY
ZIP 10595-503
Phone: (914) 345-9133
Fax: (914) 345-9140

The enumeration date for this NPI number is 2/16/2006 and was last updated on 12/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	000779-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q66621	MEDICARE PIN	NEW YORK
2	4177910001	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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