Individual
LEWIS BRESLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
176 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3800
(516) 678-1804
(516) 678-0445
Mailing address
176 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3800
(516) 221-2390
(516) 221-2395
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0009661
NY
237600000X
Audiologist-Hearing Aid Fitter
0009661
NY
237600000X
Audiologist-Hearing Aid Fitter
14000002408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036041
GHI
NY
01
—
100189235701
AMERICHOICE
NY
01
—
112920413
TAX ID
NY
01
—
1892357
UNITED HEALTHCARE
NY
01
—
19697P
HIP
NY
01
—
500021
AETNA NUMBER
NY
01
—
8461006002
CIGNA
—
01
—
DS155
OXFORD
NY
Enumeration date
05/15/2006
Last updated
11/20/2008
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