Individual
DR. IGOR GITERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4771 HYLAN BLVD, STATEN ISLAND, NY 10312-6315
(718) 948-8200
(718) 420-2718
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09191000
NJ
207Q00000X
Family Medicine Physician
Primary
278763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04100092
—
NY
Enumeration date
07/14/2012
Last updated
09/23/2025
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