Organization
LWHMEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA SHPITALNIK MD (OWNER)
(718) 518-1133
Entity
Organization
Contact information
Practice address
1811 HONE AVE, BRONX, NY 10461-1406
(718) 518-1133
(718) 518-1244
Mailing address
1811 HONE AVE, BRONX, NY 10461-1406
(718) 518-1133
(718) 518-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
252168-1
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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