Organization
LL PHYSICIAN ASSISTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID LITOVSKIY PA-C (OWNER / PA-C)
(917) 575-1144
Entity
Organization
Contact information
Practice address
2279 CONEY ISLAND AVE FL 2, BROOKLYN, NY 11223-3337
(718) 998-9890
Mailing address
452 SLOSSON AVE, STATEN ISLAND, NY 10314-5445
(917) 575-1144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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