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Individual

CYNTHIA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11519000
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
192541
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01726287
NY
Enumeration date
01/03/2007
Last updated
08/09/2025
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