Individual
CLEMENTINA JOVIONO LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Mailing address
1110 COLVIN BLVD, BUFFALO, NY 14223-1905
(716) 923-4380
(716) 923-4384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000983082
—
NY
Enumeration date
03/16/2006
Last updated
01/28/2014
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