Provider Demographics
NPI:1194028985
Name:LITTMAN, ROBYN B (RD,CDN)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:B
Last Name:LITTMAN
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HARROGATE ST
Mailing Address - Street 2:
Mailing Address - City:LIDO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-5012
Mailing Address - Country:US
Mailing Address - Phone:516-225-7171
Mailing Address - Fax:
Practice Address - Street 1:55 HARROGATE ST
Practice Address - Street 2:
Practice Address - City:LIDO BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-5012
Practice Address - Country:US
Practice Address - Phone:516-225-7171
Practice Address - Fax:516-431-9856
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004174133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered