Active NPIIndividual providerSole proprietor

Kathryn Sullivan, PA-C

Physician Assistant, Medical in Bronx, New York

NPI Number1831733799
Practice location
1825 Eastchester RD, Bronx, NY 10461-2301
Fax
—
Last updated
February 14, 2023

Kathryn Sullivan is a Physician Assistant, Medical based in Bronx, NY. Kathryn Sullivan practices in Bronx, NY and has the professional credentials of PA-C. The NPI Number for Kathryn Sullivan is 1831733799 and holds a License No. 5908 (CT). The current practice location address for Kathryn Sullivan is 1825 Eastchester RD, Bronx, NY 10461-2301 and can be reached out via phone at 349-271-8904.

Provider Profile Details

NPI Number
1831733799
Provider Name
Kathryn Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1825 Eastchester RD, Bronx, NY 10461-2301
Phone Number
349-271-8904
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2019
Last Update Date
February 14, 2023
Certification Date
February 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1825 Eastchester RD
Bronx, NY 10461-2301
City
Bronx
Zip
10461-2301
Phone Number
349-271-8904
Bronx, NY 10461Get directions →

Provider Business Mailing Address Details

Address
233 Franklin Street Ext
Danbury, CT 06811-4349
City
Danbury
State
CT
Zip
06811-4349
Phone Number
631-873-7019

License Information

License Number (1)
5908
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
024377
License State (2)
NY
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathryn Sullivan, PA-C?

The NPI number of Kathryn Sullivan, PA-C is 1831733799. It was assigned on November 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Kathryn Sullivan, PA-C?

Kathryn Sullivan, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 5908.

Where does Kathryn Sullivan, PA-C practice?

The practice location is 1825 Eastchester RD, Bronx, NY 10461-2301. The office can be reached at 349-271-8904 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831733799 directly on the NPPES registry website.

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