Individual
DANIEL JAMES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
326639
NY
Other
Enumeration date
06/11/2019
Last updated
01/30/2024
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