Provider Demographics
NPI:1720059082
Name:LITTMAN, ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:LITTMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6307
Mailing Address - Country:US
Mailing Address - Phone:212-414-8508
Mailing Address - Fax:212-414-8509
Practice Address - Street 1:5 W 16TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6307
Practice Address - Country:US
Practice Address - Phone:212-414-8508
Practice Address - Fax:212-414-8509
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXOB511Medicare PIN
NYU71542Medicare UPIN