Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA GAIL PHILLIPS-SULLIVAN, ART THERAPIST

Active Sole Proprietor

Specialist · LONG BEACH, NY

Registration Details

NPI Number: 1790958254
Provider Type: Individual
Gender: Female
NPI Issued: Apr 4, 2008 (18.075195770378 yrs)
Last Updated: Apr 4, 2008
License: 000018 (NY)
Sole Proprietor: Yes

Practice Information

Address: 630 SHORE RD

#417

LONG BEACH, NY, 115614677
Browse NY providers · Browse ZIP 11561
Phone: 5163195993
Primary Specialty: Specialist
174400000X

Other Specialist Providers in LONG BEACH, NY

Name	Credential	NPI
DR. SUMATHY REDDY	M.D., F.A.A.F.P.	1992871032
MS. LISA MARIE WISEL	MS,ADTR-LCAT	1265643860
MISS MELISSA ANNE SPINELLI	OTR/L	1740433887
MR. HUGO PETER VAN DIJK	PT, MBA	1316186844
KERI BRUCATO	M.ED.	1376776310
MRS. SHELLEY ZINA KARLIN	—	1831450857

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.