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Individual

MATTHEW LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 342-5155
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233236
MA
207RA0002X
Adult Congenital Heart Disease Physician
Primary
261535
NY
207RC0000X
Cardiovascular Disease Physician
261535
NY

Other

Enumeration date
07/17/2007
Last updated
02/05/2021
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