Individual
DR. JEFFREY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2308 30TH AVE, FIFTH FLOOR, ASTORIA, NY 11102-3397
(718) 626-1810
(718) 626-1811
Mailing address
2308 30TH AVE, FIFTH FLOOR, ASTORIA, NY 11102-3397
(718) 626-1810
(718) 303-7093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
097262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00163662
—
NY
01
—
097262-A40
HEALTHFIRST
NY
01
—
097262-C40
HEALTHFIRST
NY
Enumeration date
12/01/2006
Last updated
11/10/2010
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