Individual provider · Type 1 NPI

Tara Hiteshew

Specialist · Elmhurst, NY

NPI number 1215566500 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Mailing address

419 Stanhope St
Brooklyn, NY 11237-4404

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215566500

Tara Hiteshew's National Provider Identifier is 1215566500, issued on Apr 7, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elmhurst, NY. The record was last updated on Feb 12, 2025.