Individual
DR. MICHAEL JAY PITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 3RD AVE FL 3, NEW YORK, NY 10022-4730
(212) 305-1592
(646) 317-2720
Mailing address
180 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3722
(212) 305-8555
(212) 305-2249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
214848
NY
207Y00000X
Otolaryngology Physician
Primary
214848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02658771
—
NY
Enumeration date
03/23/2006
Last updated
03/17/2018
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