Lightman, Hylton Ivan

Lightman, Hylton Ivan is an individual health care provider with primary practice located at 601 Jarvis Ave , Far Rockaway NY 11691-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lightman, Hylton Ivan can be contacted via phone (718) 868-4808.

Contact Information

Primary practice address
601 Jarvis Ave Far Rockaway NY 11691-5425
Phone: (718) 868-4808
Fax: (718) 868-2270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 165455 New York

Profile Details

NPI number 1043375728
LBN Legal business name Lightman, Hylton Ivan
Credentials MD, DCH, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043375728 NPPES
New York MEDICAID 01507042

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