Individual
DR. JITENDRA N. TOLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3147 77TH ST, EAST ELMHURST, NY 11370-1824
(718) 429-4444
(718) 639-5353
Mailing address
3147 77TH ST, EAST ELMHURST, NY 11370-1824
(718) 429-4444
(718) 639-5353
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
174996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182374
—
NY
01
—
0M058P
HIP
NY
01
—
315221
WELLCARE MEDICARE
NY
01
—
45F931
EMPIRE BLUECROSS BLUESHIE
NY
01
—
50545
VYTRA
NY
01
—
517699
AETNA USHEALTHCARE
NY
01
—
DP156
OXFORD
NY
Enumeration date
03/27/2007
Last updated
07/08/2007
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