Individual
MRS. BRENDA FAYE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
123 ACORN AVE, CENTRAL ISLIP, NY 11722-3503
(631) 885-0089
Mailing address
123 ACORN AVE, CENTRAL ISLIP, NY 11722-3503
(631) 885-0089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
402398-1
NY
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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