Individual
DR. LEWIS LEE BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 OAKLAND AVE SUITE 205, MATHER PRIMARY CARE, PORT JEFFERSON, NY 11777
(631) 686-2523
(631) 686-2525
Mailing address
125 OAKLAND AVE SUITE 205, MATHER PRIMARY CARE, PORT JEFFERSON, NY 11777
(631) 686-2523
(631) 686-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349642
—
NY
Enumeration date
06/02/2005
Last updated
10/24/2013
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