Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 159784-1 | NY |
NPI | 1063551497 |
---|---|
Provider Name | Dr. Ross G Hewitt |
First Address | New York, NY 10003-3105 |
Second Address | New York, NY 10035-3832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 17/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00976054 | (05) | NY |
B71081 | (02) |