Livitz Medical Pc | |
2631 Merrick Rd Bellmore NY 11710-5730 | |
(516) 809-9500 | |
Not Available |
Full Name | Livitz Medical Pc |
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Speciality | Family Medicine |
Location | 2631 Merrick Rd, Bellmore, New York |
Authorized Official Name and Position | Inna Livitz (OWNER) |
Authorized Official Contact | 5168099500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Livitz Medical Pc 10 Brookside Dr Huntington NY 11743-2643 Ph: (516) 809-9500 | Livitz Medical Pc 2631 Merrick Rd Bellmore NY 11710-5730 Ph: (516) 809-9500 |
NPI Number | 1336430461 |
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Provider Enumeration Date | 04/24/2011 |
Last Update Date | 04/24/2011 |
Medicare PECOS PAC ID | 5890972681 |
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Medicare Enrollment ID | O20110603000143 |
Identifier | Type | State | Issuer |
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1336430461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Inna Livitz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467437707 PECOS PAC ID: 6507890811 Enrollment ID: I20050926000213 |
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