Gitlin, Jordan S

Gitlin, Jordan S is an individual health care provider with primary practice located at 247 Route 100 Suite 1002, Somers NY 10589-3231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gitlin, Jordan S can be contacted via phone (914) 962-8290.

Contact Information

Primary practice address
247 Route 100 Suite 1002 Somers NY 10589-3231
Phone: (914) 962-8290
Fax: (914) 962-8851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 203315 New York
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 203315 New York

Profile Details

NPI number 1164450300
LBN Legal business name Gitlin, Jordan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 29th, 2014 - about 10 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 1164450300 NPPES
New York MEDICAID 02298126

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