Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 234576-1 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 234576-1 | NY |
NPI | 1104028604 |
---|---|
Provider Name | Dr. Evgenia Litrivis |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 14/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02985564 | (05) | NY |