Provider Demographics
NPI:1740379783
Name:GITTER AND COHEN A MEDICAL CORPORATION
Entity type:Organization
Organization Name:GITTER AND COHEN A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE SECRETAY
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GLEGHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-456-9061
Mailing Address - Street 1:4315 HOUMA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2943
Mailing Address - Country:US
Mailing Address - Phone:504-456-9061
Mailing Address - Fax:504-888-6045
Practice Address - Street 1:4315 HOUMA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2943
Practice Address - Country:US
Practice Address - Phone:504-456-9061
Practice Address - Fax:504-888-6045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA02800R207W00000X
207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1797413Medicaid
MS09015388Medicaid
1740379783OtherNPI
LA56637Medicare PIN
MSCN4161Medicare PIN
MSC02225Medicare PIN
LA1797413Medicaid
LACP2571Medicare PIN