Organization
LIFE LINE MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDMILA DASHEVSKY DO (OWNER)
(917) 703-1725
Entity
Organization
Contact information
Practice address
3048 BRIGHTON 1ST ST, GROUND FLOOR, BROOKLYN, NY 11235-8009
(917) 703-1725
Mailing address
141 W BROADWAY, LONG BEACH, NY 11561-4047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
215021
NY
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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