Individual
MR. DANIEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
712 SMITHTOWN BYPASS, SMITHTOWN, NY 11787
(631) 979-3404
Mailing address
64 LUMUR DR, SAYVILLE, NY 11782-1606
(631) 567-8778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042413
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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