Provider Demographics
NPI:1609816479
Name:BITAN, FABIEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:FABIEN
Middle Name:D
Last Name:BITAN
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 1:215 EAST 77TH STREET
Mailing Address - Street 2:GROUND LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-717-7463
Mailing Address - Fax:212-744-8407
Practice Address - Street 1:215 EAST 77TH STREET
Practice Address - Street 2:GROUND LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-717-7463
Practice Address - Fax:212-744-8407
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211398-1207X00000X
NY211398207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400007131Medicare PIN
NYWNW221Medicare PIN
G78427Medicare UPIN
NY81G342Medicare PIN
81G342Medicare ID - Type Unspecified