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NPI Code Detail

MEDICARE: DR. ELLIOT M GITLITZ DPM

MEDICARE: DR. ELLIOT M GITLITZ DPM
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
1213E00000XPodiatristN003465NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P39163OTHERNYEMPIRE BLUE CROSS/BLUE SH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
357006AOTHERNYGHI PROVIDER ID

General Provider Information

NPI Number : 1720078413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLIOT M GITLITZ DPM
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : 2ND FLOOR CRED DEPT
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 3175 23RD ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4134
Country : US
Telephone Number : 718-956-2200
Fax Number : 718-956-2316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 09/12/2019

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