Individual
SHIRLEY LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., P.C.
Contact information
Practice address
2053 E 16 ST., BROOKLYN, NY 11229
(718) 336-5005
(718) 336-8679
Mailing address
2053 E 16 ST., BROOKLYN, NY 11229
(718) 336-5005
(718) 336-8679
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01779639
—
NY
Enumeration date
09/05/2008
Last updated
09/05/2008
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