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Individual

LEWIS J. SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
19 BAKER AVE, STE 203, POUGHKEEPSIE, NY 12601-1375
(845) 471-2243
(845) 471-2883
Mailing address
19 BAKER AVE, STE 203, POUGHKEEPSIE, NY 12601-1375
(845) 471-2243
(845) 471-2883

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002446
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00405261
NY
01
480010517
PALMETTO GBA RR MC
NY
Enumeration date
07/14/2005
Last updated
05/06/2016
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