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NPI Code Detail

MEDICARE: YEVGENY LITVAK MD

MEDICARE:   YEVGENY  LITVAK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician199897NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871513432
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEVGENY LITVAK MD
Provider Business Mailing Address
First Line : 1460 W 5TH ST
Second Line : SUITE M1
City : BROOKLYN
State : NY
Zip : 11204-4071
Country : US
Telephone Number : 718-234-2233
Fax Number : 718-234-2227
Provider Business Practice Location Address
First Line : 1460 W 5TH ST
Second Line : SUITE M1
City : BROOKLYN
State : NY
Zip : 11204-4071
Country : US
Telephone Number : 718-234-2233
Fax Number : 718-234-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 04/01/2016

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Directions to “ YEVGENY LITVAK MD” Practice Location

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