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Brianna Kathleen Lively
Specialist in North Massapequa, New York
NPI 1881165132

Brianna Kathleen Lively is a Specialist based in North Massapequa, NY. Brianna Kathleen Lively practices in North Massapequa, NY. The NPI Number for Brianna Kathleen Lively is 1881165132 and holds a License No. (New York).

The current practice location address for Brianna Kathleen Lively is 120 East Dr, North Massapequa, NY and can be reached out via phone at 516-473-6639.

Location: 120 East Dr, North Massapequa, NY, 11758-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881165132
Provider Name
Brianna Kathleen Lively
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 East Dr, North Massapequa, NY, 11758-1640
Phone Number
516-473-6639
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 East Dr
City
North Massapequa
State
New York
Zip
11758-1640
Phone Number
516-473-6639
Fax Number
person
Provider Business Mailing Address Details
Address
120 East Dr
City
North Massapequa
State
New York
Zip
11758-1640
Phone Number
516-473-6639
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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.
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