Individual
DR. JORDAN S GITLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
247 ROUTE 100, SUITE 1002, SOMERS, NY 10589-3231
(914) 962-8290
(914) 962-8851
Mailing address
1999 MARCUS AVE, SUITE M18, NEW HYDE PARK, NY 11042-1017
(516) 466-6953
(516) 466-5608
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
203315
NY
2088P0231X
Pediatric Urology Physician
203315
NY
2088P0231X
Pediatric Urology Physician
Primary
ME170154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02298126
—
NY
Enumeration date
06/28/2006
Last updated
07/30/2025
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