ALLAN S DETWEILER MD

SOUTH SHORE FAMILY MEDICAL ASSOCIATES PC

Dr ALLAN S DETWEILER MD is a male medical professional, specializing in Family Medicine. He graduated in 1995 from New York College Of Osteo Medicine Of New York Institute Of Technology.

Contact

SOUTH SHORE FAMILY MEDICAL ASSOCIATES PC

271 DOUGHTY BLVD
INWOOD
NY
110962135

Tel: 5163716884

ALLAN S DETWEILER MD Information

Npi 1992706402
Pac Id 6608856141
Professional Enrollment Id I20041108000731
Last Name DETWEILER
First Name ALLAN
Middle Name S
Suffix
Gender M
Credential MD
Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 1995
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTH SHORE FAMILY MEDICAL ASSOCIATES PC
Group Practice Pac Id 5597803213
Number Of Group Practice Members 4
Line 1 Street Address 271 DOUGHTY BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City INWOOD
State NY
Zip Code 110962135
Phone Number 5163716884
Hospital Affiliation Ccn 1 330395
Hospital Affiliation Lbn 1 ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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