Individual
IRENE LYTRIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L.LEVY PLACE, BOX #1201, NEW YORK, NY 10029
(212) 241-8662
(646) 537-9228
Mailing address
1 GUSTAVE L.LEVY PLACE, BOX #1201, NEW YORK, NY 10029
(212) 241-8662
(646) 537-9228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002133
NY
208000000X
Pediatrics Physician
267287
NY
2080P0202X
Pediatric Cardiology Physician
002133
NY
2080P0202X
Pediatric Cardiology Physician
Primary
267287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002133
HIP
NY
01
—
002133-A15
HEALTH FIRST
NY
01
—
0102205
AMERICHOICE
NY
05
—
02572287
—
NY
01
—
1000044583
AFFINITY HEALTH
NY
01
—
11-3491197
HORIZON HEALTHCARE NY
NY
01
—
113491197
PHCS
NY
01
—
193600101
HEALTH PLUS
NY
01
—
2439692 06
UNITED HEALTH CARE
NY
01
—
3176R1
EMPIRE BCBS
NY
01
—
3610446
AETNA USHC HMO
NY
01
—
3C7841
HEALTH NET
NY
01
—
7296567
AETNA PPO
NY
01
—
LI2133
ATLANTIS HEALTH
NY
01
—
P3302848
OXFORD HEALTH PLAN
NY
Enumeration date
09/13/2005
Last updated
03/26/2013
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