Individual
DARNELL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 MARLOWE RD, VALLEY STREAM, NY 11580-1127
(516) 884-7742
Mailing address
3603 BROADWAY APT 3A, NEW YORK, NY 10031-3254
(212) 444-8262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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