Provider Demographics
NPI:1538342175
Name:HEWITT, KRISHA HELEN
Entity type:Individual
Prefix:DR
First Name:KRISHA
Middle Name:HELEN
Last Name:HEWITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6911 YELLOWSTONE BLVD
Mailing Address - Street 2:APARTMENT B2
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3761
Mailing Address - Country:US
Mailing Address - Phone:718-354-9987
Mailing Address - Fax:
Practice Address - Street 1:125 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1008
Practice Address - Country:US
Practice Address - Phone:212-996-5261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist