Gitlitz, Elliot M

Gitlitz, Elliot M is an individual health care provider with primary practice located at 3175 23Rd St , Astoria NY 11106-4134. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gitlitz, Elliot M can be contacted via phone (718) 956-2200.

Contact Information

Primary practice address
3175 23Rd St Astoria NY 11106-4134
Phone: (718) 956-2200
Fax: (718) 956-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003465 New York

Profile Details

NPI number 1720078413
LBN Legal business name Gitlitz, Elliot M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 12th, 2019 - about 6 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 1720078413 NPPES
New York Other P39163 EMPIRE BLUE CROSS/BLUE SH
New York MEDICAID 00821958 EMPIRE BLUE CROSS/BLUE SH
New York Other 57006A EMPIRE BLUE CROSS/BLUE SH

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