Individual
DR. DELAN TREVOR DEALWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 4TH AVE, BROOKLYN, NY 11209-3207
(718) 238-7000
Mailing address
7601 4TH AVE, BROOKLYN, NY 11209-3207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
259712
NY
2085R0202X
Diagnostic Radiology Physician
25MA09121000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302040
—
NJ
01
—
P01080379
RR MEDICARE
NJ
01
—
P01080386
RR MEDICARE
NJ
01
—
P01080395
RR MEDICARE
NJ
Enumeration date
01/17/2011
Last updated
04/30/2017
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