Individual
BRITTANY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 SAWGRASS DR STE 220, ROCHESTER, NY 14620-4651
(585) 273-2727
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
309402
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309402
NP LICENSE
NY
Enumeration date
09/19/2019
Last updated
07/03/2023
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