DR. LETITIA WINONA SHORT M.D. NPI 1578766804

NPI Information

NPI: 1578766804
Provider Name: DR. LETITIA WINONA SHORT, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
164 W 122ND ST APT 3
NEW YORK, NY
ZIP 10027
Phone: (443) 986-3001
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DR. Letitia Winona Short, M.D. is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Letitia Winona Short, M.D. NPI is 1578766804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

164 W 122ND ST APT 3
NEW YORK, NY
ZIP 10027-507
Phone: (443) 986-3001

The enumeration date for this NPI number is 6/6/2007 and was last updated on 3/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		D0061184	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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