DR. Ellen J Sullivan, DDS
NPI #1598759789 in Queens Village, New York
Provider Information
- NPI Number
- 1598759789
- Entity Type
- Individual
- Name
- DR. Ellen J Sullivan, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 2, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 21414 SPENCER AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-1821
- Phone
- (718) 468-1812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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