Dr. Hylton Ivan Lightman
Adolescent Medicine
601 Jarvis Ave
Far Rockaway
, New York 11691-5425
Dr. Hylton Ivan Lightman
Adolescent Medicine
601 Jarvis Ave
Far Rockaway
, New York 11691-5425
(718) 868-2270
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Hylton Ivan Lightman
- 601 Jarvis Ave
- Far Rockaway, NY
- Zip : 11691-5425
- Fax : (718) 868-2270
- Phone : (718) 868-4808
Second Address
- Dr. Hylton Ivan Lightman
- 601 Jarvis Ave
- Far Rockaway, NY
- Zip : 11691-5425
- Fax : (718) 868-2270
- Phone : (718) 868-4808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 165455 | NY |
National Provider Identifier
| NPI | 1043375728 |
|---|---|
| Provider Name | Dr. Hylton Ivan Lightman |
| First Address | Far Rockaway, NY 11691-5425 |
| Second Address | Far Rockaway, NY 11691-5425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01507042 | (05) | NY |
| B58739 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.