Individual
BRIDGET LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
994 BLAKE AVE, BROOKLYN, NY 11208-3504
(866) 551-9700
Mailing address
994 BLAKE AVE, BROOKLYN, NY 11208-3504
(866) 551-9700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
424780
NY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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