# LL PHYSICIAN ASSISTANT PC

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

## Provider details

- **NPI number:** 1831736602
- **Authorized official:** LEONID LITOVSKIY PA-C (OWNER / PA-C)
- **Authorized official phone:** (917) 575-1144

## Contact information

- **Practice address:** 2279 CONEY ISLAND AVE FL 2, BROOKLYN, NY 11223-3337
- **Practice address phone:** (718) 998-9890
- **Mailing address:** 452 SLOSSON AVE, STATEN ISLAND, NY 10314-5445
- **Mailing address phone:** (917) 575-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2019
- **Last updated:** 11/29/2019