Individual
LEWIS A ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 E MAIN ST, RIVERHEAD, NY 11901-1524
(631) 369-0777
(631) 369-0976
Mailing address
1333 E MAIN ST, RIVERHEAD, NY 11901-1524
(631) 369-0777
(631) 369-0976
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
142587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00857718
—
NY
Enumeration date
06/12/2006
Last updated
07/08/2007
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