Organization
ANDREW E LITUCHY, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW E LITUCHY M.D (DOCTOR)
(516) 365-4888
Entity
Organization
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 365-4888
(516) 365-4820
Mailing address
PO BOX 415, ROSLYN HEIGHTS, NY 11577-0415
(516) 365-4888
(516) 365-4820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
181585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01279863
—
NY
Enumeration date
09/25/2007
Last updated
09/25/2007
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