Organization
LUTHERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA KHARITONOVA DO (ATTENDING PSYCHIATRIST)
(718) 437-5272
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 437-5272
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 437-5272
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
208942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911522
—
NY
Enumeration date
11/21/2006
Last updated
08/22/2020
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