Lisa Gail Phillips-Sulliv in Long Beach - Specialist
Lisa Gail Phillips-Sulliv - NPI 1790958254
Lisa Gail Phillips-Sulliv is a Specialist in Long Beach, New York. Lisa Gail Phillips-Sulliv practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa Gail Phillips-Sulliv is 1790958254. The last update date is 2008-04-04.
Lisa Gail Phillips-Sulliv's current location address is 630 Shore Rd, Long Beach, New York. You can contact this provider via phone number 5163195993. The mailing address for Lisa Gail Phillips-Sulliv is 630 Shore Rd, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Gail Phillips-Sulliv |
|---|---|
| Address | 630 Shore Rd, Long Beach, New York |
| Phone Number | 5163195993 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ART THERAP |
NPI Number Detail
| NPI Number | 1790958254 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 630 Shore Rd |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 115614677 |
| Phone Number | 5163195993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18 |
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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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What is the unique 10-digit identifier code assigned to Lisa Gail Phillips-Sulliv by the Centers for Medicare & Medicaid Services?
The Lisa Gail Phillips-Sulliv has been issued the NPI (National Provider Identifier) 1790958254 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lisa Gail Phillips-Sulliv's physical address?
The Lisa Gail Phillips-Sulliv is physically located at 630 Shore Rd, in the city of Long Beach, NY, with the postal code 115614677.
What is Lisa Gail Phillips-Sulliv's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Gail Phillips-Sulliv is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790958254 to Lisa Gail Phillips-Sulliv?
The Centers for Medicare & Medicaid Services assigned the 1790958254 to Lisa Gail Phillips-Sulliv on 2008-04-04.
When was the information regarding Lisa Gail Phillips-Sulliv most recently updated?
The details pertaining to the Lisa Gail Phillips-Sulliv, including its address, specialty, and other relevant information, were last refreshed on 2008-04-04.