Individual
DONAMAR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 880-8555
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311451
NY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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