Gitlin, Michael

Gitlin, Michael is an sole proprietor health care provider with primary practice located at 4250 Hempstead Tpke Suite 4, Bethpage NY 11714-5711. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gitlin, Michael can be contacted via phone (516) 579-8950.

Contact Information

Primary practice address
4250 Hempstead Tpke Suite 4 Bethpage NY 11714-5711
Fax: (516) 579-0092
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041069 New York

Profile Details

NPI number 1912051236
LBN Legal business name Gitlin, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 2007 - about 18 years ago

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 1912051236 NPPES
New York MEDICAID 01044408

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