person
Dr. Letitia Winona Short, MD
General Practice Physician in New York, New York
NPI 1578766804

Letitia Winona Short is a General Practice Physician based in New York, NY. Letitia Winona Short practices in New York, NY and has the professional credentials of MD. The NPI Number for Letitia Winona Short is 1578766804 and holds a License No. D0061184 (New York).

The current practice location address for Letitia Winona Short is 164 W 122Nd St Apt 3, New York, NY and can be reached out via phone at 443-986-3001.

Location: 164 W 122Nd St Apt 3, New York, NY, 10027-5507
person
Provider Profile Details
NPI Number
1578766804
Provider Name
Letitia Winona Short
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
164 W 122Nd St Apt 3, New York, NY, 10027-5507
Phone Number
443-986-3001
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
164 W 122Nd St Apt 3
City
State
Zip
10027-5507
Phone Number
443-986-3001
Fax Number
person
Provider Business Mailing Address Details
Address
164 W 122Nd St Apt 3
City
State
Zip
10027-5507
Phone Number
443-986-3001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D0061184 (Maryland)
Definition
Definition to come...
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