Individual
ILYA LITVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
290986
NY
207P00000X
Emergency Medicine Physician
Primary
OS019157
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07811636
—
NJ
Enumeration date
04/24/2015
Last updated
06/27/2025
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