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Organization
MY HOME DOCTOR MEDICAL PC
Active
Organization
MY HOME DOCTOR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA N. LIKVER M.D. (PRESIDENT)
(718) 259-0199
Entity
Organization
Contact information
Practice address
8419 BAY PKWY, BROOKLYN, NY 11214-3303
(718) 259-0199
(718) 256-0109
Mailing address
181 COLERIDGE ST, BROOKLYN, NY 11235-4130
(718) 259-0199
(718) 256-0109
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216637
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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