Individual
DR. JESSE MILLER LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 12, NEW YORK, NY 10032-3729
(212) 305-3625
Mailing address
5 E 98TH ST, FL 5, NEW YORK, NY 10029-6501
(646) 784-1006
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
261822
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
261822
NY
Other
Enumeration date
04/29/2010
Last updated
07/23/2021
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