Provider Demographics
NPI:1932466026
Name:PITMAN, MAX STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:STEVEN
Last Name:PITMAN
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 1:50 COURT ST STE 1102
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4871
Mailing Address - Country:US
Mailing Address - Phone:646-891-4330
Mailing Address - Fax:
Practice Address - Street 1:50 COURT ST STE 1102
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4871
Practice Address - Country:US
Practice Address - Phone:646-891-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280375207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology