# MY HOME DOCTOR MEDICAL PC

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

## Provider details

- **NPI number:** 1588972350
- **Authorized official:** DR. LARISA N. LIKVER M.D. (PRESIDENT)
- **Authorized official phone:** (718) 259-0199

## Contact information

- **Practice address:** 8419 BAY PKWY, BROOKLYN, NY 11214-3303
- **Practice address phone:** (718) 259-0199
- **Practice address fax:** (718) 256-0109
- **Mailing address:** 181 COLERIDGE ST, BROOKLYN, NY 11235-4130
- **Mailing address phone:** (718) 259-0199
- **Mailing address fax:** (718) 256-0109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 216637 | NY | Yes |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 09/15/2010