Healthcare Provider Details

I. General information

NPI: 1295360873
Provider Name (Legal Business Name): LUCIA ROITMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 04/28/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 48TH ST
BROOKLYN NY
11219-2918
US

IV. Provider business mailing address

920 48TH ST FL 2
BROOKLYN NY
11219-2918
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-7800
  • Fax: 718-283-6161
Mailing address:
  • Phone: 718-283-6669
  • Fax: 718-283-6161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number330157
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: