Individual
MICHELLE MINOUX LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WESTCHESTER AVE, WEST HARRISON, NY 10604-3200
(914) 540-5593
Mailing address
500 WESTCHESTER AVE, WEST HARRISON, NY 10604-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676156
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F30979301
NY
Other
Enumeration date
10/13/2021
Last updated
10/30/2024
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