Individual
ALISSA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10915 QUEENS BLVD, 2G, FOREST HILLS, NY 11375-5482
(516) 319-9902
Mailing address
10915 QUEENS BLVD, 2G, FOREST HILLS, NY 11375-5482
(516) 319-9902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1085727
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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