# LIFELONG MEDICAL DIAGNOSTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578066015
- **Authorized official:** YEVGENY LITVAK MD (MD)
- **Authorized official phone:** (718) 234-2233

## Contact information

- **Practice address:** 1460 W 5TH ST STE M1, BROOKLYN, NY 11204-4071
- **Practice address phone:** (718) 234-2233
- **Mailing address:** 3165 EMMONS AVE APT 1K, BROOKLYN, NY 11235-1790
- **Mailing address phone:** (718) 234-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/12/2018