Organization
DIVERSE NP IN FAMILY ADULT HEALTH AND GERONTOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA LIVSHITS FNP (OWNER)
(718) 629-8133
Entity
Organization
Contact information
Practice address
2844 OCEAN PKWY STE 6, BROOKLYN, NY 11235-7900
(718) 629-8133
Mailing address
2844 OCEAN PKWY STE 6, BROOKLYN, NY 11235-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
05/08/2018
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