Individual
DR. ELLIOT M GITLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3175 23RD ST, ASTORIA, NY 11106-4134
(718) 956-2200
(718) 956-2316
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821958
—
NY
01
—
57006A
GHI PROVIDER ID
NY
01
—
P39163
EMPIRE BLUE CROSS/BLUE SH
NY
Enumeration date
10/25/2005
Last updated
09/12/2019
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