Provider Demographics
NPI:1376667204
Name:LITMAN, NATHAN D (TSHH)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:D
Last Name:LITMAN
Suffix:
Gender:M
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 KIRKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4235
Mailing Address - Country:US
Mailing Address - Phone:516-379-3032
Mailing Address - Fax:
Practice Address - Street 1:89 KIRKWOOD AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4235
Practice Address - Country:US
Practice Address - Phone:516-379-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY366153235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist