MRS. Tara Marie Sullivan is a specialist in Whitestone, NY. The provider is 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. MRS. Tara Marie Sullivan NPI is 1205199601. 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:
14911 12TH AVE
WHITESTONE, NY
ZIP 11357-725
Phone: (516) 576-2040
The enumeration date for this NPI number is 6/20/2012 and was last updated on 6/20/2012.