Individual
ANTONIA VERONICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309818-01
NY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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