DR. IGOR GITERMAN


Address: 4771 Hylan Blvd, Staten Island, NY 10312-6315
Phone: 7189488200

DR. IGOR GITERMAN (NPI# 1396090411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396090411
Entity Type Individual
Full Name DR. IGOR GITERMAN
Credential M.D.
Practice Address 4771 Hylan Blvd
Staten Island
NY 10312-6315
Mailing Address 55 Water St
2nd Floor Cred Dept
New York
NY 10041-0004
Practice Telephone 7189488200
Practice Fax Number 7184202718
Mailing Telephone 6466802888
Mailing Fax Number 5165425556
Enumeration Date 2012-07-14
Last Update Date 2019-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 25MA09191000 NJ Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 278763 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 04100092 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1050 Clove Road, Staten Island, NY 103013627 7188166440 7188163611

Office Location

Street Address 4771 HYLAN BLVD
City STATEN ISLAND
State NY
Zip Code 10312-6315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427017391 Steven Richard Banat Psychiatry & Neurology 4771 Hylan Blvd, Staten Island, NY 10312-6315 2006-03-20
1518526839 Liliya Rozenfeld Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2019-06-10
1184179111 Maria Civille Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2016-08-19
1013384106 Kristin Frances Langford Physician Assistant 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-08-25
1205202769 Brinda Swaminarayan Physical Therapist 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-08-18
1174906325 Susan Ann Colford-castano Registered Nurse 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-07-07
1144636713 James Steven Cohen Registered Nurse 4771 Hylan Blvd, Staten Island, NY 10312-6315 2014-07-03
1801140983 Alexandra Lorraine Hoffmann-steiman Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2012-10-29
1407116551 Imran Khalid Internal Medicine 4771 Hylan Blvd, Staten Island, NY 10312-6315 2012-05-23
1992917660 Womens Healthcare of Si, Pllc Specialist 4771 Hylan Blvd, Staten Island, NY 10312-6315 2007-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841849965 Woodrow Little Smiles Family Dentistry P.C. Dentist 739 Woodrow Road, Staten Island, NY 10312 2019-09-11
1407403876 Shannen Rogozin Occupational Therapist 85 Macon Ave, Staten Island, NY 10312 2019-08-21
1972076107 Alla Nusonovna Adler Nurse Practitioner 76winchester Ave, Staten Island, NY 10312 2019-01-10
1427559145 Kelly Diefenthaler Occupational Therapist 165 Sheldon Avenue, Staten Island, NY 10312 2018-02-27
1316446776 Maria Kathleen Caras Counselor 3930 Richmond Ave, #105, Staten Island, NY 10312 2018-02-12
1487172904 Melissa Alter Counselor 31 Regent Circle, Staten Island, NY 10312 2017-09-05
1821515321 Paul Abraham Benjamin Pharmacist 127 Wainwright Avenue, Staten Island, NY 10312 2017-08-24
1588180277 Heloisa Vilas Boas Specialist 140 Laredo Avenue, Staten Island, NY 10312 2017-08-15
1245778604 Lisa Marie Cutrona Speech-Language Pathologist 536 Wilson Ave., Staten Island, NY 10312 2017-02-06
1922468016 Salvatrice Gaston Licensed Practical Nurse 97 Forest Green, Staten Island, NY 10312 2016-03-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174122980 Richmond Health Partners Ipa LLC Family Medicine 1161 Victory Blvd, Staten Island, NY 10301-3621 2020-10-22
1083137970 Dian Patricia Grandison Family Medicine 25 Beekman St, Staten Island, NY 10302-2006 2017-07-21
1184092314 Girgis Md Pllc Family Medicine 1332a Rockland Ave, Staten Island, NY 10314-4944 2015-09-03
1790163996 Tamara Anna Marie Saukin Md PC Family Medicine 1920 Richmond Rd, Staten Island, NY 10306-2551 2015-05-08
1629474283 Rani Medical, PC Family Medicine 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 2014-11-10
1861735656 Liudmila A Skudnov Family Medicine 1000 Targee St Apt 4t, Staten Island, NY 10304-4472 2013-04-01
1952664351 Biana Volfinzon Family Medicine 187 Arbutus Ave, Staten Island, NY 10312-4500 2012-06-20
1548534324 Ming Yeung Chung Family Medicine 56 Jenna Ln, Staten Island, NY 10304-1322 2012-02-27
1619110707 Joaquin C Gutierrez Jr. Family Medicine 124 Getz Ave, Staten Island, NY 10312-2114 2009-04-20
1588823025 Zoya Koroleva Family Medicine 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 2008-06-09
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Competitor

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City STATEN ISLAND
Zip Code 10312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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