Provider Demographics
NPI:1760676084
Name:BELLIVEAU, LYNN ANN (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANN
Last Name:BELLIVEAU
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Gender:F
Credentials:DO, MPH
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Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-7176
Mailing Address - Fax:718-283-8377
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-7176
Practice Address - Fax:718-283-8377
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2016-02-16
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Provider Licenses
StateLicense IDTaxonomies
NY257064207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology