Basic Information
Provider Information
NPI: 1124000674
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BITTER
FirstName: MARSHA
MiddleName: JANE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CROFFORD-BITTER
OtherFirstName: MARSHA
OtherMiddleName: JANE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 5
Mailing Information
Address1: 52 MAIN ST
Address2:  
City: BEDFORD HILLS
State: NY
PostalCode: 105071814
CountryCode: US
TelephoneNumber: 9146662220
FaxNumber: 9146662987
Practice Location
Address1: 127 S BROADWAY
Address2: RADIOLOGY DEPARTMENT
City: YONKERS
State: NY
PostalCode: 107014006
CountryCode: US
TelephoneNumber: 9525951100
FaxNumber: 6122944903
Other Information
ProviderEnumerationDate: 11/18/2005
LastUpdateDate: 03/24/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X146892NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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