Individual
MICHELLE MIHONET LEWIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100E 77TH ST, NY, NY, NY 10065
(212) 434-2000
Mailing address
6 PARKVIEW PL, ELMONT, NY 11003-4818
(917) 796-1546
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
306419-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306419-1
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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