Basic Information
| Provider Information | |||||||||
| NPI: | 1114092285 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GITTENS | ||||||||
| FirstName: | SHEILA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RD - CDE - CDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 760 BROADWAY - WOODHULL HOSPITAL CENTER | ||||||||
| Address2: | DEPARTMENT OF AMBULATORY CARE ROOM #2AB-235' | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187242421 | ||||||||
| FaxNumber: | 7186303122 | ||||||||
| Practice Location | |||||||||
| Address1: | 760 BROADWAY WOODHULL HOSPITAL CENTER | ||||||||
| Address2: | DEPARTMENT OF AMBULATORY CARE ROOM #2AB-235 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187242421 | ||||||||
| FaxNumber: | 7186303122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2006 | ||||||||
| LastUpdateDate: | 07/17/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 003405 | NY | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.