Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | NY003485 | NY |
NPI | 1013986512 |
---|---|
Provider Name | Dr. Robert Allen Hewson |
First Address | Buffalo, NY 14223-3044 |
Second Address | Buffalo, NY 14223-3044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 02/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00776696 | (05) | NY |
T25918 | (02) | NY |