Provider Demographics
NPI:1083893028
Name:STEVEN J LITMAN MD PC
Entity Type:Organization
Organization Name:STEVEN J LITMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-665-0075
Mailing Address - Street 1:387 EAST MAIN STREET
Mailing Address - Street 2:STE 104
Mailing Address - City:BAYSHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:631-665-0075
Mailing Address - Fax:631-665-4951
Practice Address - Street 1:387 EAST MAIN STREET
Practice Address - Street 2:STE 104
Practice Address - City:BAYSHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-665-0075
Practice Address - Fax:631-665-4951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184902208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01245812Medicaid
NYE89286Medicare UPIN
NY01245812Medicaid