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JUSTIN ITTEERA M.D.
NPI 1265283972
Student in an Organized Health Care Education/Training Program in Queens Village, NY

Active since March 29, 2024
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 264-5030 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Itteera M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ITTEERA M.D. (NPI 1265283972) is an individual student in an organized health care education/training program in Queens Village, New York and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1265283972
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN ITTEERACredential: M.D.
Location Address79-25 WINCHESTER BLVDQueens Village, NY 11427
Mailing Address79-25 Winchester BlvdQueens Village, NY 11427 · (718) 264-5030
Phone(718) 264-5030
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1265283972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
79-25 WINCHESTER BLVD, Queens Village, NY 11427
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSMITA DASGUPTA M.D
Psychiatry & Neurology (Psychiatry)
79-25 WINCHESTER BLVD, MEDICAL EDUCATION, CREEDMOOR PSYCHIATRIC CENTER
QUEENS VILLAGE, NY 11427
Queens County (718) 264-5530
BERTHNA NARCISSE
Licensed Practical Nurse
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4050
MR. RONALD ANDRE LOMBINO RPH
Pharmacist (Psychiatric)
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4021
MR. MOFID AWADALLAH RPH
Pharmacist (Psychiatric)
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4020
MR. GEORGE VARGHESE RPH
Pharmacist (Psychiatric)
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4020
DR. ENFU KEITH CABILIN SHODA M.D.
Student in an Organized Health Care Education/Training Program
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-5030
MS. LINDA CHU LAM RPH
Pharmacist (Psychiatric)
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-4018
AMIN ALI DELEON LPN
Licensed Practical Nurse
79-25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Queens County (718) 264-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Itteera's NPI number?

The NPI number for Justin Itteera is 1265283972. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Justin Itteera located?

Justin Itteera practices at 79-25 Winchester Blvd, Queens Village, NY 11427. The listed phone number is (718) 264-5030.

What is Justin Itteera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Itteera was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.