Individual provider · Type 1 NPI
Letitia Winona Short, MD
General Practice Physician · New York, NY
NPI number
1578766804
Active
Practice location
164 W 122nd St Apt 3
New York, NY 10027-5507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D0061184 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1578766804
Letitia Winona Short, MD's National Provider Identifier is 1578766804, issued on Jun 6, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Mar 25, 2019.