Saila Suman Detore (NPI# 1063679942, PAC ID# 4880867845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1063679942 |
| PAC ID by PECOS | 4880867845 |
| Professional Enrollment ID | I20191217002790 |
| Full Name | Saila Suman Detore |
| Address |
800 Montauk Hwy West Islip NY 11795-4919 |
| Phone Number | 6316612663 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2005 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 Montauk Hwy, West Islip, NY 11795-4919 | 6316612663 |
| Street Address |
800 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip | 11795-4919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Darlin Maurina | Nurse Practitioner | Md 365 Medical Care Pllc | 800 Montauk Hwy, Suite 18, Shirley, NY 11967-2128 |
| Natalie Radino | Nurse Practitioner | Md 365 Medical Care Pllc | 800 Montauk Hwy, Suite 18, Shirley, NY 11967-2128 |
| Blessan Thomas | Family Medicine | Md 365 Medical Care Pllc | 800 Montauk Hwy, Suite 18, Shirley, NY 11967-2128 |
| Lauren Patricia Berman | Physician Assistant | Md 365 Medical Care Pllc | 800 Montauk Hwy, Suite 18, Shirley, NY 11967-2128 |
| Brian M Mehling | Orthopedic Surgery | 800 Montauk Hwy, West Islip, NY 11795-4919 | |
| Zena Esther Sara Joseph | Family Medicine | Md 365 Medical Care Pllc | 800 Montauk Hwy, Suite 18, Shirley, NY 11967-2128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Mccarthy | Physical Therapy | Island Shore Physical Therapy, LLP | 250 Higbie Lane, West Islip, NY 11795 |
| Hassan Hito | Internal Medicine | 1111 Mantauk Hwy, 3rd Floor, West Islip, NY 11795 | |
| Anna G Gorski-piaszczyk | Internal Medicine | 510 Montauk Hwy-ste D, West Islip, NY 11795 | |
| Edward H Weir | Chiropractic | 270 W 4th St, West Islip, NY 11795-1832 | |
| Justin A Minerva | Physical Therapy | 280 Higbie Ln, West Islip, NY 11795-2822 | |
| Ralph M Turri | Podiatry | West Islip Foot Care PC | 212 Higbie Ln, Suite 2, West Islip, NY 11795-2833 |
| Nicolle D Alvarez | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| Charlene Persaud | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| John W Hsu | General Surgery | Great South Bay Surgical Associates and Vascular Lab, LLP | 580 Union Blvd, West Islip, NY 11795-3105 |
| Thomas J Harrison | Nurse Practitioner | St Francis Hospital | 540 Union Blvd, West Islip, NY 11795-3105 |
| Find all physicians in zip 11795 | |||
| City | WEST ISLIP |
| Zip Code | 11795 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WEST ISLIP + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Saila Suman Detore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.