Provider Demographics
NPI:1366585069
Name:LITVAK, HAROLD (DMD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:LITVAK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8043
Mailing Address - Country:US
Mailing Address - Phone:212-751-2544
Mailing Address - Fax:212-486-9463
Practice Address - Street 1:655 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8043
Practice Address - Country:US
Practice Address - Phone:212-751-2544
Practice Address - Fax:212-486-9463
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0236511223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics