# MARK B. LEW, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark B. Lew, MD, LLC Pediatric Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649323601
- **Authorized official:** DR. MARK B. LEW MD (OWNER)
- **Authorized official phone:** (718) 859-6440

## Contact information

- **Practice address:** 2704 GLENWOOD RD, BROOKLYN, NY 11210-2326
- **Practice address phone:** (718) 859-6440
- **Practice address fax:** (718) 434-0368
- **Mailing address:** 2704 GLENWOOD RD, BROOKLYN, NY 11210-2326
- **Mailing address phone:** (718) 859-6440
- **Mailing address fax:** (718) 434-0368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 133922 | NY | Yes |

## Other

- **Enumeration date:** 01/20/2007
- **Last updated:** 08/22/2020