National Provider Identifier
Demetra McIlwain, MD
Demetra McIlwain, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 892-2775.
Profile Overview
- NPI
- 1871056002
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 14, 2019
- Last Updated
- December 16, 2022
Practice Location
- 21 Doat St
- Buffalo, NY 14211-1612
Phone: (716) 892-2775
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1871056002
- Entity Type
- Individual
- Last Name
- McIlwain
- First Name
- Demetra
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 21 Doat St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-1612
- Mailing Country
- US
- Mailing Phone
- (716) 892-2775
- Mailing Fax
- (716) 597-0554
- Practice Street Address
- 21 Doat St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14211-1612
- Practice Country
- US
- Practice Phone
- (716) 892-2775
- Practice Fax
- (716) 597-0554
- Enumeration Date
- April 14, 2019
- Last Updated
- December 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)