Individual
MRS. DALU QUEEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
1985 MARCUS AVE # 100, NEW HYDE PARK, NY 11042-2008
(855) 201-4988
Mailing address
18 ELIZABETH AVE, STATEN ISLAND, NY 10310-1510
(646) 309-9753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340907
NY
Other
Enumeration date
06/06/2017
Last updated
06/16/2022
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