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Contact Information

LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.
70 MIDDAGH ST # 2A
BROOKLYN, NY11201-1384
 Phone: 203-451-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.

NPI # 1407556822
LBN Legal business name LISA BOTTICELLI, PH.D. PSYCHOLOGY, P.L.L.C.
Authorized official LISA BOTTICELLI - (OPERATING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2023
Last updated 05/10/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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