Provider Demographics
NPI:1750300927
Name:HITTMAN, ELIZABETH W (ANP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:W
Last Name:HITTMAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SHIPLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4308
Mailing Address - Country:US
Mailing Address - Phone:914-736-3487
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 9A
Practice Address - Street 2:VETERANS ADMINISTRATION HUDSON VALLEY HEALTH CARE SYSTE
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2796411163W00000X
NYF3001681363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health