Individual
ASHANTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 STATE ROUTE 211, OTISVILLE, NY 10963-2706
(646) 773-6029
Mailing address
1641 STATE ROUTE 211, OTISVILLE, NY 10963-2706
(646) 773-6029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347995-01
NY
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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