Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 2786661 | NY |
NPI | 1083905137 |
---|---|
Provider Name | Irina Litvin |
First Address | Staten Island, NY 10314-3548 |
Second Address | Staten Island, NY 10314-3548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 06/03/2018 |