Provider Demographics
NPI:1528276649
Name:GITMAN, MELISSA RANDY (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RANDY
Last Name:GITMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1425 MADISON AVE RM L9-52
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6514
Mailing Address - Country:US
Mailing Address - Phone:212-659-8173
Mailing Address - Fax:212-427-3082
Practice Address - Street 1:1425 MADISON AVE RM L9-52
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6514
Practice Address - Country:US
Practice Address - Phone:212-659-8173
Practice Address - Fax:212-427-3082
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY290598207ZM0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical Microbiology