Provider Demographics
NPI:1629341128
Name:CAROL A LIVOTI M.D.P.C
Entity Type:Organization
Organization Name:CAROL A LIVOTI M.D.P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LIVOTI
Authorized Official - Suffix:
Authorized Official - Credentials:MDPC
Authorized Official - Phone:212-517-4600
Mailing Address - Street 1:121 E 60TH ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1164
Mailing Address - Country:US
Mailing Address - Phone:212-517-4600
Mailing Address - Fax:212-517-6499
Practice Address - Street 1:121 E 60TH ST APT 2C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1164
Practice Address - Country:US
Practice Address - Phone:212-517-4600
Practice Address - Fax:212-517-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1046271174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty