Organization
LIFELONG MEDICAL DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENY LITVAK MD (MD)
(718) 234-2233
Entity
Organization
Contact information
Practice address
1460 W 5TH ST STE M1, BROOKLYN, NY 11204-4071
(718) 234-2233
Mailing address
3165 EMMONS AVE APT 1K, BROOKLYN, NY 11235-1790
(718) 234-2233
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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