Basic Information
| Provider Information | |||||||||
| NPI: | 1750300927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HITTMAN | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ANP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 SHIPLEY DRIVE | ||||||||
| Address2: | |||||||||
| City: | CORTLANDT MANOR | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105674308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147363487 | ||||||||
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| Practice Location | |||||||||
| Address1: | ROUTE 9A | ||||||||
| Address2: | VETERANS ADMINISTRATION HUDSON VALLEY HEALTH CARE SYSTE | ||||||||
| City: | MONTROSE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147374400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 2796411 | NY | X | Nursing Service Providers | Registered Nurse | 363LA2200X | F3001681 | NY | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.