Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 242948 | NY |
N | 111NI0900X | Internist | 242948 | NY |
Y | 207R00000X | Internist | MD443011 | PA |
Y | 111NI0900X | Internist | MD443011 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD443011 | PA |
NPI | 1013194711 |
---|---|
Provider Name | Valaine B Hewitt |
First Address | Brooklyn, NY 11234-2644 |
Second Address | Meadowbrook, PA 19046-8001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2008 |
Last Update Date | 12/06/2020 |