Provider Demographics
NPI:1588602825
Name:GETMAN, ISRAEL (MD)
Entity Type:Individual
Prefix:
First Name:ISRAEL
Middle Name:
Last Name:GETMAN
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:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-0124
Mailing Address - Country:US
Mailing Address - Phone:917-856-8699
Mailing Address - Fax:718-363-6047
Practice Address - Street 1:86 E 49TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1901
Practice Address - Country:US
Practice Address - Phone:917-856-8699
Practice Address - Fax:718-363-6647
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126013207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00384625Medicaid
NYA400008873Medicare PIN
NY00384625Medicaid