Individual
CODY GLENN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4159
(585) 922-3731
Mailing address
130 ALLENS CREEK RD, ROCHESTER, NY 14618-3305
(585) 410-6545
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
329025
NY
Other
Enumeration date
04/07/2020
Last updated
02/18/2025
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