Provider Demographics
NPI:1760449144
Name:BITTERMAN, ANYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANYA
Middle Name:
Last Name:BITTERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SWEET BRIAR LN
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-6518
Mailing Address - Country:US
Mailing Address - Phone:607-433-2690
Mailing Address - Fax:
Practice Address - Street 1:1 FOX CARE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2086
Practice Address - Country:US
Practice Address - Phone:607-432-1262
Practice Address - Fax:607-432-3011
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226132-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H71256Medicare UPIN