Provider Demographics
NPI:1114246006
Name:GITLER, CYNTHIA MELISSA (DO)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MELISSA
Last Name:GITLER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:BANNER HEALTH, NORTH COLORADO MEDICAL CENTER
Mailing Address - Street 2:1601 18TH STREET
Mailing Address - City:GREENLEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631
Mailing Address - Country:US
Mailing Address - Phone:315-464-6204
Mailing Address - Fax:315-464-6229
Practice Address - Street 1:BANNER HEALTH, NORTH COLORADO MEDICAL CENTER
Practice Address - Street 2:1601 18TH STREET
Practice Address - City:GREENLEY
Practice Address - State:CO
Practice Address - Zip Code:80631
Practice Address - Country:US
Practice Address - Phone:315-464-6204
Practice Address - Fax:315-464-6229
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0058051207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1114246006OtherFORMER NPI NUMBER AT STONY BROOK DURING SURGICAL RESIDENCY