Provider Demographics
NPI:1235452020
Name:LITVINTCHOUK, YEHUDA Y (PT)
Entity Type:Individual
Prefix:
First Name:YEHUDA
Middle Name:Y
Last Name:LITVINTCHOUK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1320
Mailing Address - Country:US
Mailing Address - Phone:718-902-4866
Mailing Address - Fax:516-791-1007
Practice Address - Street 1:396 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1320
Practice Address - Country:US
Practice Address - Phone:718-902-4866
Practice Address - Fax:516-791-1007
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032431225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics