Individual
DR. CAROL D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
104 E 40TH ST, SUITE 206, NEW YORK, NY 10016-1801
(212) 692-9288
Mailing address
161 E 90TH ST, 7B, NEW YORK, NY 10128-2342
(212) 534-5925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008804-1
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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