Individual
ALAN D. FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3434
(631) 547-5349
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3434
(631) 547-5349
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
155848-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00985699
—
NY
Enumeration date
08/08/2006
Last updated
05/01/2023
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