Megan Alise Sullivan Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · New Hyde Park, NY

NPI

1790272466

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

331335 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2018-04-18

Last updated

2025-02-20