MEDICARE: DR. STUART BITTERMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	160959	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487739413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART BITTERMAN M.D.

Provider Business Mailing Address
First Line	:	217 STEVEN PL
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2532
Country	:	US
Telephone Number	:	718-544-6650
Fax Number	:	516-569-5893

Provider Business Practice Location Address
First Line	:	7734 113TH ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7133
Country	:	US
Telephone Number	:	718-544-6650
Fax Number	:	516-569-5893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	04/27/2018

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Directions to “ DR. STUART BITTERMAN M.D.” Practice Location

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