Gitlevich, Tatyana R
Gitlevich, Tatyana R is an sole proprietor health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gitlevich, Tatyana R can be contacted via phone (718) 920-5040.Contact Information
Primary practice address
111 E 210Th St
Bronx NY 10467-2401
Phone: (718) 920-5040
Fax: (718) 798-1334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 230302-1 | New York |
Profile Details
| NPI number | 1700886983 |
|---|---|
| LBN Legal business name | Gitlevich, Tatyana R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 6th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700886983 | NPPES |
| New York | MEDICAID | 02578476 |
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