Raymond Dattwyler
Internist - Allergy & Immunology
325 Park Ave
Huntington
, New York 11743-2779
Raymond Dattwyler
Internist - Allergy & Immunology
325 Park Ave
Huntington
, New York 11743-2779
(631) 659-4580
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Raymond Dattwyler
- 325 Park Ave
- Huntington, NY
- Zip : 11743-2779
- Fax : (631) 659-4580
- Phone : (631) 659-4491
Second Address
- Raymond Dattwyler
- 325 Park Ave
- Huntington, NY
- Zip : 11743-2779
- Fax : (631) 659-4580
- Phone : (631) 659-4491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 145814 | NY |
National Provider Identifier
| NPI | 1285658989 |
|---|---|
| Provider Name | Raymond Dattwyler |
| First Address | Huntington, NY 11743-2779 |
| Second Address | Huntington, NY 11743-2779 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 30/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000090207 | GHI HMO (01) | NY |
| 00662840 | (05) | NY |
| 133277785 | TRICARE (01) | |
| 145814 | HIP (01) | |
| 145814 | HIP (01) | NY |
| 2099746 | GHI PPO (01) | NY |
| 3738401 | AETNA HMO (01) | NY |
| 389284 | MVP (01) | NY |
| 3C7116 | HEALTHNET (01) | NY |
| 4589993 | AETNA PPO (01) | NY |
| DR5814 | ATLANTIS (01) | |
| P3453285 | OXFORD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.