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Contact Information

ALAN D FETTERMAN, MD
325 PARK AVE
HUNTINGTON, NY11743-2779
 Phone: 631-351-3434
 Fax: 631-547-5349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALAN D FETTERMAN · (Male)

NPI Number 1891705208
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 155848-2
  • NY Medicaid 00985699
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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