Provider Demographics
NPI:1790019966
Name:LEFF, LITAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:LITAL
Middle Name:
Last Name:LEFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W BROADWAY
Mailing Address - Street 2:APT. 2BB
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4049
Mailing Address - Country:US
Mailing Address - Phone:516-670-8747
Mailing Address - Fax:516-977-3166
Practice Address - Street 1:100 W BROADWAY
Practice Address - Street 2:APT. 2BB
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4049
Practice Address - Country:US
Practice Address - Phone:516-670-8747
Practice Address - Fax:516-977-3166
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051221-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist