Brianna Kathleen Lively is a specialist in North Massapequa, NY. The provider is 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. Brianna Kathleen Lively NPI is 1881165132. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
120 EAST DR
NORTH MASSAPEQUA, NY
ZIP 11758-640
Phone: (516) 473-6639
The enumeration date for this NPI number is 12/16/2018 and was last updated on 7/30/2023.