Individual
TIMOTHY PITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
74 NORWOOD AVE, GLEN ROCK, NJ 07452-1430
(631) 827-6734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19229200
NJ
163W00000X
Registered Nurse
652953-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01478700
NJ
Other
Enumeration date
07/31/2017
Last updated
05/23/2023
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