Individual
SUSAN B LEWISH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621
(585) 697-6469
(585) 342-9166
Mailing address
1500 PORTLAND AVE, ROCHESTER, NY 14621
(585) 697-6469
(585) 342-9166
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F3405171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171775BJ
PREFERRED CARE
—
Enumeration date
01/03/2006
Last updated
07/08/2007
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