Provider Demographics
NPI:1558611061
Name:HITE, MEGUMI (PA)
Entity Type:Individual
Prefix:
First Name:MEGUMI
Middle Name:
Last Name:HITE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:259 1ST ST
Mailing Address - Street 2:DEPT TCV, 4TH FLOOR GARDNER PAVILION
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3957
Mailing Address - Country:US
Mailing Address - Phone:516-663-2384
Mailing Address - Fax:516-663-8288
Practice Address - Street 1:259 1ST ST
Practice Address - Street 2:DEPT TCV, 4TH FLOOR GARDNER PAVILION
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3957
Practice Address - Country:US
Practice Address - Phone:516-663-2384
Practice Address - Fax:516-663-8288
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2022-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY015943363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant