Individual
NICHOLE RACQUEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
128 ASHFORD AVE, CARE OF DOBBS FERRY EMERGENCY MEDICINE, PC, DOBBS FERRY, NY 10522-1924
(914) 559-1072
Mailing address
1300 MIDLAND AVE, APT. B71, YONKERS, NY 10704-1409
(914) 720-6198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
261823
NY
Other
Enumeration date
01/26/2009
Last updated
05/28/2014
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