Brianna Kathleen Lively
NPI #1881165132 in North Massapequa, New York
Provider Information
- NPI Number
- 1881165132
- Entity Type
- Individual
- Name
- Brianna Kathleen Lively
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Jul 30, 2023
Practice Location
- Address
- 120 EAST DR
- City
- North Massapequa
- State
- New York
- ZIP Code
- 11758-1640
- Phone
- (516) 473-6639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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