Provider Demographics
NPI:1982663977
Name:RITTERBAND, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:RITTERBAND
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 1:310 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4201
Mailing Address - Country:US
Mailing Address - Phone:212-505-6550
Mailing Address - Fax:212-979-1772
Practice Address - Street 1:310 E 14TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-505-6550
Practice Address - Fax:212-979-1772
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188484207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY188484B40OtherHEALTHFIRST 65 ID
NYP560514OtherOXFORD ID
NY561461OtherAETNA USHC
NY7867556OtherCIGNA ID
NYH660438OtherELDERPLAN
NY1333949OtherUNITED HC ID
NY180029520OtherPALMETTO ID
NY79022OtherVYTRA
NY93T321OtherBLUE CROSS BLUE SHIELD ID
NY0401019OtherGHI ID
NY48483POtherHIP ID
NY01579542Medicaid
NY1C2535OtherHEALTH NET
NY1C2535OtherHEALTH NET
NY0401019OtherGHI ID
NYG03737Medicare UPIN