National Provider Identifier Database

PETR ITZHAK, DO – NPI #1801843412
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


Contact Information

PETR ITZHAK, DO
6805 MYRTLE AVE
GLENDALE, NY11385-7267
Phone: 718-366-2242
Fax:
Website:
Specialty Taxonomy Code
* Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for PETR ITZHAK

NPI Number 1801843412
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/28/2006
Last updated 08/07/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 234430
  • NY Medicaid: 02669836
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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