MEDICARE: DAVID GLEITMAN DPM PC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1902194194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID GLEITMAN DPM PC

Provider Business Mailing Address
First Line	:	1532 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2427
Country	:	US
Telephone Number	:	718-434-0007
Fax Number	:	718-434-0965

Provider Business Practice Location Address
First Line	:	1532 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2427
Country	:	US
Telephone Number	:	718-434-0007
Fax Number	:	718-434-0965

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID GLEITMAN
Credential	:	D.P.M.
Telephone Number	:	718-434-0007

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	07/21/2011

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