RAYMOND DATTWYLER (NPI# 1285658989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285658989 |
| Entity Type | Individual |
| Full Name | RAYMOND DATTWYLER |
| Credential | MD |
| Practice Address |
325 Park Ave Huntington NY 11743-2779 |
| Practice Telephone | 6316594491 |
| Practice Fax Number | 6316594580 |
| Mailing Telephone | 6316594491 |
| Mailing Fax Number | 6316594580 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
145814 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIP | 145814 | 01 | |
| NY | GHI PPO | 2099746 | 01 |
| NY | AETNA PPO | 4589993 | 01 |
| NY | 00662840 | 05 | |
| NY | HIP | 145814 | 01 |
| TRICARE | 133277785 | 01 | |
| NY | GHI HMO | 000000090207 | 01 |
| NY | MVP | 389284 | 01 |
| OXFORD | P3453285 | 01 | |
| NY | AETNA HMO | 3738401 | 01 |
| ATLANTIS | DR5814 | 01 | |
| NY | HEALTHNET | 3C7116 | 01 |
| Street Address |
325 PARK AVE |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452029 | Paul Steven Edgecomb | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2005-07-26 |
| 1811302540 | Aniqa Irfan Gorgani | Family Medicine | 325 Park Ave, Huntington, NY 11743 | 2014-06-20 |
| 1083046882 | Lynn Rech | Registered Nurse | 325 Park Ave, Huntington, NY 11743-2779 | 2013-08-02 |
| 1689943029 | Lois Mary Bennardo | Audiologist | 325 Park Ave, Huntington, NY 11743-2779 | 2011-12-14 |
| 1386961647 | Teresa Marie Quartararo-baiter | Licensed Practical Nurse | 325 Park Ave, Huntington, NY 11743-2779 | 2010-04-27 |
| 1215252556 | Pragati Tandon | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2010-03-30 |
| 1730402702 | John Tloczkowski | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2010-03-05 |
| 1346405610 | Jessica Leigh Caporuscio | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2008-07-25 |
| 1265699755 | Karen Elizabeth Siegel | Audiologist | 325 Park Ave, Huntington, NY 11743-2779 | 2008-05-21 |
| 1902005622 | Amit Chhabra | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295936474 | Joseph Edwin May | Internal Medicine | 152 E Main Street, Suite E, Huntington, NY 11743-2958 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366808511 | Yiqun Hui Md Pllc | Internal Medicine | 4316 215th St, 1st Fl, Bayside, NY 11361-2976 | 2016-01-04 |
| 1376934224 | Riverdale Medical, P.C. | Internal Medicine | 11 Riverdale Ave, Port Chester, NY 10573-2737 | 2015-02-13 |
| 1053731414 | Luanna Yang | Internal Medicine | 10 Hagen Dr Ste 20, Rochester, NY 14625-2663 | 2014-04-23 |
| 1225372436 | Albany Medical College | Internal Medicine | 176 Washington Avenue Ext Ste 102, Albany, NY 12203-5300 | 2012-11-15 |
| 1306176730 | Bernard Benjamin Levine | Internal Medicine | 210 Riverside Dr, 9f, New York, NY 10025-6802 | 2010-01-07 |
| 1164553319 | Sylvia Kelley Knowlton | Internal Medicine | 1549 Waterwells Rd, Alfred Station, NY 14803-9794 | 2007-03-08 |
| 1942352265 | David Volkman | Internal Medicine | 4 River Hollow Rd, Saint James, NY 11780-4104 | 2007-01-17 |
| 1538227905 | Arthur Englard | Internal Medicine | 2 West 67th Street, New York, NY 10023 | 2006-12-05 |
| 1992863146 | Gabriele Selma De Vos | Internal Medicine | 2510 Bouck Ave, Bronx, NY 10469-5605 | 2006-12-04 |
| 1942308168 | Robert Karol | Internal Medicine | 218 Juniper Cir S, Lawrence, NY 11559-1918 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
Please comment or provide details below to improve the information on RAYMOND DATTWYLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.