Provider Demographics
NPI:1356428403
Name:RITTER, DIANE BETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:BETH
Last Name:RITTER
Suffix:
Gender:F
Credentials:MD, MPH
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Other - Credentials:
Mailing Address - Street 1:4051 ESTANCIA WAY
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32934-8709
Mailing Address - Country:US
Mailing Address - Phone:914-325-8000
Mailing Address - Fax:
Practice Address - Street 1:33 W 125TH ST
Practice Address - Street 2:HARLEM MEDICAL GROUP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4512
Practice Address - Country:US
Practice Address - Phone:212-289-5795
Practice Address - Fax:212-410-4424
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY155078207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0015507808Medicaid
NYA16582Medicare UPIN
NY0015507808Medicaid