Provider Demographics
NPI:1013194711
Name:HEWITT, VALAINE B (MD)
Entity Type:Individual
Prefix:
First Name:VALAINE
Middle Name:B
Last Name:HEWITT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3131 KINGS HWY
Mailing Address - Street 2:STE 3-04
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2644
Mailing Address - Country:US
Mailing Address - Phone:215-933-0259
Mailing Address - Fax:215-933-3672
Practice Address - Street 1:3131 KINGS HWY
Practice Address - Street 2:STE 3-04
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2644
Practice Address - Country:US
Practice Address - Phone:215-933-0259
Practice Address - Fax:215-933-3672
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2023-10-31
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Provider Licenses
StateLicense IDTaxonomies
NY292948207UN0901X, 207RC0000X
PAMD443011207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology