Individual
DR. ELLEN S GITLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 597-2500
(914) 597-2439
Mailing address
26 PRINCE WILLOWS LANE, MAMARONECK, NY 10543-1036
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
137400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137400
STATE LICENSE
NY
Enumeration date
03/22/2006
Last updated
07/08/2007
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