Provider Demographics
NPI:1568842144
Name:O'SULLIVAN, CATHERINE (MSED)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:O'SULLIVAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3154 SCHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1745
Mailing Address - Country:US
Mailing Address - Phone:646-337-9654
Mailing Address - Fax:
Practice Address - Street 1:3154 SCHLEY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1745
Practice Address - Country:US
Practice Address - Phone:646-337-9654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist