Provider Demographics
NPI:1790840486
Name:GLEITMAN, DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GLEITMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2427
Mailing Address - Country:US
Mailing Address - Phone:718-434-0007
Mailing Address - Fax:718-434-0965
Practice Address - Street 1:1532 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2427
Practice Address - Country:US
Practice Address - Phone:718-434-0007
Practice Address - Fax:718-434-0965
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-24
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003089-1213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY480014449OtherRAILROAD MEDICARE
NYP501232OtherOXFORD
NYP3374OtherBLUE CROSS BLUE SHIELD
NY55225OtherGHI
NYP0030891OtherWORKERS COMPENSATION
NY00494028Medicaid
NY100023086701OtherUNITED HEALTHCARE
NYT71179Medicare UPIN
NYP3374OtherBLUE CROSS BLUE SHIELD