Doctor Name: | PATRICIA EILEEN LITWACK |
NPI Number: | 1104827955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F381320 |
Business Practice Address: | 1000 Montauk Hwy West Islip, NY - 117954927 |
Business Phone Number: | 6313763000 |
Business Fax Number: | |
Mailing Address: | 1000 Montauk Hwy, WEST ISLIP |
State: | NY |
Postal Code: | 117954927 |
Phone Number: | 6313763000 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 03/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F381320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |