MRS. TARA MARIE SULLIVAN
NPI 1205199601
Specialist in Whitestone, NY

Q: What is Tara Sullivan's NPI number?

The NPI number for Tara Sullivan is 1205199601. It was assigned to this individual provider in the NPPES registry on June 20, 2012. The provider is also known as Mrs. Tara Marie Stavrianeas.

Q: What is Tara Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Sullivan was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2012

14911 12TH AVE, WHITESTONE, NY 11357(516) 576-2040 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Tara Marie Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TARA MARIE SULLIVAN (NPI 1205199601) is an individual specialist in Whitestone, New York, licensed in New York (1718799) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1205199601

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. TARA MARIE SULLIVAN

Location Address14911 12TH AVEWhitestone, NY 11357-1725

Mailing Address14911 12th AveWhitestone, NY 11357-1725 · (516) 576-2040

Phone(516) 576-2040

Sole ProprietorNo

Enumeration DateJune 20, 2012

✔ NPI 1205199601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 1718799

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

14911 12TH AVE, Whitestone, NY 11357

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Tara Marie Stavrianeas

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Sullivan's NPI number?

The NPI number for Tara Sullivan is 1205199601. It was assigned to this individual provider in the NPPES registry on June 20, 2012. The provider is also known as Mrs. Tara Marie Stavrianeas.

Where is Tara Sullivan located?

Tara Sullivan practices at 14911 12th Ave, Whitestone, NY 11357. The listed phone number is (516) 576-2040.

What is Tara Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tara Sullivan was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.