Individual
DIAL HEWLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 EASTCHESTER RD, MEDICAKL STAFF OFFICES, BRONX, NY 10461-2300
(914) 330-3747
Mailing address
1740 EASTCHESTER RD, MEDICAKL STAFF OFFICES, BRONX, NY 10461-2300
(914) 330-3747
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
138794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797264
—
NY
Enumeration date
01/11/2006
Last updated
07/10/2014
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