Individual
DR. BRAD LITWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 GLEN COVE RD, CARLE PLACE, NY 11514-1207
(516) 877-2400
(516) 877-1560
Mailing address
112 FIG DR, DIX HILLS, NY 11746-5657
(631) 385-5141
(631) 470-3456
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
147136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147136
NY STATE LICENSE NUMBER
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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