Individual
DR. EDWARD DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 WESTFALL RD, SUITE E, ROCHESTER, NY 14618-2611
(585) 442-1421
(585) 442-6882
Mailing address
880 WESTFALL RD, SUITE E, ROCHESTER, NY 14618-2611
(585) 442-1421
(585) 442-6882
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141956
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00564925
—
NY
Enumeration date
11/10/2005
Last updated
07/08/2007
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