Basic Information
Provider Information
NPI: 1184943235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LITROFF
FirstName: ADAM
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 270 PARK AVE
Address2: HUNTINGTON HOSPITAL, DEPT OF EMERGENCY MEDICINE
City: HUNTINGTON
State: NY
PostalCode: 117432787
CountryCode: US
TelephoneNumber: 6313512300
FaxNumber:  
Practice Location
Address1: 270 PARK AVE
Address2: HUNTINGTON HOSPITAL, DEPT OF EMERGENCY MEDICINE
City: HUNTINGTON
State: NY
PostalCode: 117432787
CountryCode: US
TelephoneNumber: 6313512300
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/27/2010
LastUpdateDate: 07/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X263445NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PP0204X263445NYN Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine

No ID Information.


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