Ashley Nicole O'Sullivan | Brooklyn, NY • PECOS Search

Ashley Nicole O'Sullivan

Specialist

Other Service Providers

7616 13th Ave, Brooklyn, NY 11228-2412

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Nicole O'Sullivan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1538593264
Provider Type
Individual
Full Name
O'Sullivan, Ashley Nicole
Title
Ms.
Credential
M.S.ED.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/29/2013
Last Updated
8/29/2013

Contact Information

Practice Location

7616 13th Ave, Brooklyn, NY 11228-2412

Unlisted Fax

Mailing Location

7616 13th Ave, Brooklyn, NY 11228-2412

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer