Provider Demographics
NPI:1619469517
Name:R LITEANU LLC
Entity Type:Organization
Organization Name:R LITEANU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LITEANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-902-9111
Mailing Address - Street 1:387 PARK AVE S FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8810
Mailing Address - Country:US
Mailing Address - Phone:646-902-9111
Mailing Address - Fax:212-596-7134
Practice Address - Street 1:387 PARK AVE S FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8810
Practice Address - Country:US
Practice Address - Phone:646-902-9111
Practice Address - Fax:212-596-7134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1598672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty