Individual
ASHLEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 BROADWAY, NEW YORK, NY 10018-9228
(718) 615-0049
Mailing address
383 CLOVE RD # 1B, STATEN ISLAND, NY 10310-2304
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
724427
NY
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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