Provider Demographics
NPI:1699839571
Name:LITMAN, CRAIG (PHD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:LITMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 CEDARHURST AVE
Mailing Address - Street 2:APARTMENT I3
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1614
Mailing Address - Country:US
Mailing Address - Phone:516-359-7124
Mailing Address - Fax:
Practice Address - Street 1:1926 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3610
Practice Address - Country:US
Practice Address - Phone:516-359-7124
Practice Address - Fax:516-781-0457
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical