Individual
CHERYL CLAIRE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 WHALEN DR, MONTGOMERY, NY 12549-2341
(646) 498-3066
Mailing address
45 WAVEY WILLOW LN, MONTGOMERY, NY 12549-1524
(845) 457-4771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
533554-01
NY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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