Individual
DR. ELEANOR HINDS DE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 531-2944
(315) 536-0430
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 531-2944
(315) 536-0430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01007794
—
NY
Enumeration date
09/23/2005
Last updated
11/18/2010
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