Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 207153 | NY |
NPI | 1144221110 |
---|---|
Provider Name | Dr. Liliya Lotsvin |
First Address | Bronx, NY 10471-1230 |
Second Address | Bronx, NY 10463-1803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 16/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01827669 | (05) | NY |
G69548 | (02) | NY |