Individual
MRS. KATIE LEIGH LYVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
21 4TH AVE, BAY SHORE, NY 11706-7908
(631) 665-6707
Mailing address
205 ARNOLD AVE, WEST BABYLON, NY 11704-7211
(631) 671-5705
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405158-01
NY
Other
Enumeration date
08/15/2023
Last updated
04/19/2026
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