Basic Information
| Provider Information | |||||||||
| NPI: | 1114933108 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GITLER | ||||||||
| FirstName: | BERNARD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 LOCKWOOD AVE | ||||||||
| Address2: | SUITE 28 | ||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108014916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146337870 | ||||||||
| FaxNumber: | 9146337626 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 LOCKWOOD AVE | ||||||||
| Address2: | SUITE 28 | ||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108014916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146337870 | ||||||||
| FaxNumber: | 9146337626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 06/10/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 135723 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 135723 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0200X | 135723 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | WS336 | 01 | OXFORD | OTHER | 26484P | 01 | HIP | OTHER | 3126338016 | 01 | CIGNA | OTHER | 00596589 | 05 | NY | MEDICAID | 0066511 | 01 | GHI | OTHER | 17812 | 01 | HUDSON HEALTH PLAN | OTHER | 538603 | 01 | AETNA HMO | OTHER | 01227012 | 01 | UNITED HEALTH CARE | OTHER | 4123675 | 01 | AETNA | OTHER | OD0908 | 01 | HEALTH NET | OTHER |