Individual
MRS. BRIDGET E LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
210 COURT ST, SUITE 9, WATERTOWN, NY 13601-4546
(315) 786-0677
(315) 836-3782
Mailing address
21638 REED RD, WATERTOWN, NY 13601-5048
(315) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
666387121
NY
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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