Individual
MRS. ALEXANDRA GAYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(508) 254-3728
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(508) 254-3728
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015139
NY
Other
Enumeration date
09/26/2011
Last updated
11/04/2016
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