Livoti, Charles C

Livoti, Charles C is an sole proprietor health care provider with primary practice located at 502 South Wellwood Avenue , Lindenhurst NY 11757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Livoti, Charles C can be contacted via phone (631) 226-8600.

Contact Information

Primary practice address
502 South Wellwood Avenue Lindenhurst NY 11757
Fax: (631) 957-7858
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 206207 New York

Profile Details

NPI number 1548245590
LBN Legal business name Livoti, Charles C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Dec 6th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548245590 NPPES
New York MEDICAID 01919433

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