Individual
ILANA ITENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
17 PROSPECT ST, NASHUA, NH 03060-3956
(603) 577-3230
(603) 577-3234
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
000800
CT
213ES0131X
Foot Surgery Podiatrist
Primary
0317
NH
213ES0131X
Foot Surgery Podiatrist
25MD00283300
NJ
213ES0131X
Foot Surgery Podiatrist
N005742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459745
—
NY
01
—
06
1199
NY
01
—
161658P
HIP
NY
01
—
2701877
UNITED HEALTH CARE
NY
01
—
6298914
GHI
NY
01
—
9533745
CIGNA
NY
01
—
P3060948
OXFORD
NY
01
—
PJ4082
BCBS
NY
Enumeration date
09/13/2005
Last updated
12/17/2015
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