Organization
JOSEPH LIVOTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LIVOTI M.D. (PRESIDENT)
(631) 661-6041
Entity
Organization
Contact information
Practice address
400 MONTAUK HWY, SUITE 107, WEST ISLIP, NY 11795-4429
(631) 661-6041
Mailing address
400 MONTAUK HWY, SUITE 107, WEST ISLIP, NY 11795-4429
(631) 661-6041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
174546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565957
—
NY
Enumeration date
10/18/2012
Last updated
10/27/2012
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