NPI 1073125597
Lillian Beach
Practice location
- Address
- 178 Kearney Ave, Bronx, NY 10465-3421
- Phone
- (347) 885-8671
- Mailing address
- 6525 160th St APT 3c, Fresh Meadows, NY 11365-2540
Registered specialties (2)
Art Therapist
Primary
Behavior Analyst
Registry record
- NPI
- 1073125597
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Aug 2020
- Record last updated
- 21 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.