Individual
P JEFFREY LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 ORCHARD PARK RD, SUITE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006
Mailing address
550 ORCHARD PARK RD, SUITE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1768721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020071601
UNIVERA HEALTHCARE
NY
01
—
000510718005
BLUE CROSS BLUE SHIELD
NY
05
—
01123633
—
NY
01
—
040426000202
FIDELIS CARE
NY
01
—
0607774
INDEPENDENT HEALTH
NY
Enumeration date
12/19/2005
Last updated
07/08/2007
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