Provider Demographics
NPI:1285855429
Name:FLITMAN, SHEILA J (MD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:J
Last Name:FLITMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LYNN DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-7007
Mailing Address - Country:US
Mailing Address - Phone:516-921-3009
Mailing Address - Fax:516-496-2760
Practice Address - Street 1:3 LYNN DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-7007
Practice Address - Country:US
Practice Address - Phone:516-921-3009
Practice Address - Fax:516-496-2760
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096970208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics