Dr Jordan S Gitlin, MD | |
247 Route 100, Suite 1002, Somers, NY 10589-3231 | |
(914) 962-8290 | |
(914) 962-8851 |
Full Name | Dr Jordan S Gitlin |
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Gender | Male |
Speciality | Urology |
Location | 247 Route 100, Somers, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164450300 | NPI | - | NPPES |
02298126 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 203315 (New York) | Primary |
2088P0231X | Urology - Pediatric Urology | 203315 (New York) | Secondary |
Entity Name | Pediatric Urology Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518989193 PECOS PAC ID: 5597656561 Enrollment ID: O20040322000453 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan S Gitlin, MD 1999 Marcus Ave, Suite M18, New Hyde Park, NY 11042-1017 Ph: (516) 466-6953 | Dr Jordan S Gitlin, MD 247 Route 100, Suite 1002, Somers, NY 10589-3231 Ph: (914) 962-8290 |
Dr. Steven C Friedman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 247 Route 100, Suite 1002, Somers, NY 10589 Phone: 914-962-8290 Fax: 914-962-8851 |