Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Itteera, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265283972

Justin Itteera, MD is a Student in an Organized Health Care Education/Training Program in Queens Village, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

79-25 Winchester Blvd
Queens Village, NY 11427
Phone: (718) 264-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265283972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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