Gitlevich, Tatyana R

Gitlevich, Tatyana R is an sole proprietor health care provider with primary practice located at 19 Bradhurst Ave Ste 3850 , Hawthorne NY 10532-2199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gitlevich, Tatyana R can be contacted via phone (914) 345-1313.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 3850 Hawthorne NY 10532-2199
Phone: (914) 345-1313
Fax: (913) 345-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 230302 New York

Profile Details

NPI number 1700886983
LBN Legal business name Gitlevich, Tatyana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jan 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700886983 NPPES
New York MEDICAID 02578476

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