Brianna Kathleen Lively
Brianna Kathleen Lively is a Specialist in North Massapequa, New York. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
120 E DrNorth Massapequa, NY 11758-1640
Phone: (516) 473-6639
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1881165132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2018 |
| Last updated in NPPES | July 30, 2023 |
| Certification date | July 30, 2023 |
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