DR. TATYANA R GITLEVICH, MD V (NPI# 1700886983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700886983 |
| Entity Type | Individual |
| Full Name | DR. TATYANA R GITLEVICH, MD V |
| Credential | M.D. |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Mailing Address |
132 Boulder Ridge Rd Scarsdale NY 10583-3138 |
| Practice Telephone | 7189205040 |
| Practice Fax Number | 7187981334 |
| Mailing Telephone | 9144223983 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
230302-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02578476 | 05 |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285084251 | Well Care Neurology Pllc | Psychiatry & Neurology | 1665 Grand Concourse, Suite A, Bronx, NY 10452-5815 | 2016-06-20 |
| 1033524780 | Lauren Gluck | Psychiatry & Neurology | 1250 Waters Pl Ph 8, Bronx, NY 10461-2731 | 2014-06-20 |
| 1538435953 | Cinthi Pillai | Psychiatry & Neurology | 1300 Morris Park Ave, Kennedy Suite 220, Aecom, Montefiore Medical Center, Dept of Neurology, Bronx, NY 10461 | 2012-03-29 |
| 1013202761 | Rajesh Bhatnagar Physician PC | Psychiatry & Neurology | 3594 E Tremont Ave Ste 200, Bronx, NY 10465-2032 | 2011-06-10 |
| 1093991697 | Peter C Kwan | Psychiatry & Neurology | 3611a E Tremont Ave, Bronx, NY 10465-2009 | 2008-01-14 |
| 1194933572 | Naunihal Singh Sachdev | Psychiatry & Neurology | 282 E Gun Hill Rd, Bronx, NY 10467-2217 | 2007-05-18 |
| 1942346929 | Gregory Allen Elder | Psychiatry & Neurology | James J. Peters Va Medical Center, 130 West Kingsbridge Road (3f22), Bronx, NY 10468 | 2007-01-29 |
| 1902953466 | Christopher Cimino | Psychiatry & Neurology | 110 East 210 Street, Montefiore Medical Center, Bronx, NY 10467 | 2007-01-05 |
| 1730245325 | Hugo Manuel Morales | Psychiatry & Neurology | 645 Allerton Avenue, Bronx, NY 10467 | 2006-12-28 |
| 1790851467 | Daniel Antoniello | Psychiatry & Neurology | 111 E. 210th Street, Bronx, NY 10461 | 2006-11-27 |
| Find all providers in BRONX | ||||
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| 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.