Individual
CONSTANCE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CRAWFORD PL, MIDDLETOWN, NY 10940-2906
(718) 308-7144
Mailing address
8 CRAWFORD PL, MIDDLETOWN, NY 10940-2906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
615075
NY
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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