Individual
ROSETTA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
630 AUTUMN AVE, BROOKLYN, NY 11208-3912
(917) 885-5445
Mailing address
630 AUTUMN AVE, BROOKLYN, NY 11208-3912
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
409704-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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