Provider Demographics
NPI:1114933108
Name:GITLER, BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:GITLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 28
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4916
Mailing Address - Country:US
Mailing Address - Phone:914-633-7870
Mailing Address - Fax:914-633-7626
Practice Address - Street 1:150 LOCKWOOD AVE
Practice Address - Street 2:SUITE 28
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4916
Practice Address - Country:US
Practice Address - Phone:914-633-7870
Practice Address - Fax:914-633-7626
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135723207R00000X, 207RC0000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WS336OtherOXFORD
26484POtherHIP
3126338016OtherCIGNA
NY00596589Medicaid
0066511OtherGHI
17812OtherHUDSON HEALTH PLAN
538603OtherAETNA HMO
01227012OtherUNITED HEALTH CARE
4123675OtherAETNA
OD0908OtherHEALTH NET
26484POtherHIP
3126338016OtherCIGNA
538603OtherAETNA HMO