Provider Demographics
NPI:1235626599
Name:HEWLETT, KATHERINE A (NYCPS)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:HEWLETT
Suffix:
Gender:F
Credentials:NYCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1183
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-5183
Mailing Address - Country:US
Mailing Address - Phone:607-353-9751
Mailing Address - Fax:
Practice Address - Street 1:9 LEWIS AVE APT 101
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1240
Practice Address - Country:US
Practice Address - Phone:607-372-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCPS-295175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist