Individual
VIVIAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 487-3386
(585) 334-8998
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 487-3386
(585) 334-8998
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
137023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01222095
—
NY
01
—
1906
BLUE SHIELD OF ROCHESTER
NY
01
—
4262575
AETNA
NY
01
—
MD410M
PREFERRED CARE
NY
01
—
P010137023
BLUE CHOICE
NY
Enumeration date
07/04/2006
Last updated
08/26/2011
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