Sullivan, Megan Alise

Sullivan, Megan Alise is an individual health care provider with primary practice located at 270-05 76Th Ave , New Hyde Park NY 11040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Sullivan, Megan Alise can be contacted via phone (718) 470-7110.

Contact Information

Primary practice address
270-05 76Th Ave New Hyde Park NY 11040
Phone: (718) 470-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 331335 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 064286 New York

Profile Details

NPI number 1790272466
LBN Legal business name Sullivan, Megan Alise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2018
Last updated Feb 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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