Organization
LITVINOVA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA LITVINOVA MD (PRESIDENT)
(646) 202-2968
Entity
Organization
Contact information
Practice address
110 4TH AVE, BROOKLYN, NY 11217-2787
(646) 202-2968
(718) 857-8415
Mailing address
110 4TH AVE, BROOKLYN, NY 11217-2787
(646) 202-2968
(718) 857-8415
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
219127
NY
Other
Enumeration date
12/11/2008
Last updated
09/25/2023
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