Individual
MIRIAM Y LITVINTCHOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
1457 E 10TH ST, BROOKLYN, NY 11230-6549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013284
NY
Other
Enumeration date
04/18/2010
Last updated
02/19/2019
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