Individual
MRS. ANGELINA JAQUELINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 PARKWAY W, MOUNT VERNON, NY 10552-1141
(917) 648-0072
Mailing address
58 PARKWAY W, MOUNT VERNON, NY 10552-1141
(917) 648-0072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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