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DR. LETITIA WINONA SHORT M.D.
NPI 1578766804
General Practice in New York, NY

Active since June 06, 2007
164 W 122ND ST APT 3, NEW YORK, NY 10027(443) 986-3001 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Letitia Winona Short M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LETITIA WINONA SHORT M.D. (NPI 1578766804) is an individual general practice provider in New York, New York, licensed in Maryland (D0061184) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1578766804
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. LETITIA WINONA SHORTCredential: M.D.
Location Address164 W 122ND ST APT 3New York, NY 10027-5507
Mailing Address164 W 122nd St Apt 3New York, NY 10027-5507 · (443) 986-3001
Phone(443) 986-3001
Sole ProprietorYes
Enumeration DateJune 6, 2007
Last NPPES UpdateMarch 25, 2019
✔ NPI 1578766804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0061184
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
164 W 122ND ST APT 3, New York, NY 10027
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Letitia Short's NPI number?

The NPI number for Letitia Short is 1578766804. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Letitia Short located?

Letitia Short practices at 164 W 122nd St Apt 3, New York, NY 10027. The listed phone number is (443) 986-3001.

What is Letitia Short's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Letitia Short was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.