Organization
SUSAN LEWIN DPM
Active
Other names
ACTIVE FOOTCARE PC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LEWIN (SOLE PROPRIETOR)
(718) 445-3445
Entity
Organization
Contact information
Practice address
913 N CENTRAL AVE, WOODMERE, NY 11598-1629
(718) 445-3445
Mailing address
913 N CENTRAL AVE, WOODMERE, NY 11598-1629
(718) 445-3445
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02205127
—
NY
Enumeration date
02/14/2007
Last updated
06/25/2008
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