Individual
DR. JENNIFER V LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
156 5TH AVE, SUITE 823, NEW YORK, NY 10010-7002
(212) 714-7165
Mailing address
PO BOX 1552, NEW YORK, NY 10159-1552
(212) 714-7165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0151871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537808
VALUE OPTIONS PROVIDER
NY
01
—
7348613
GHI PROVIDER NUMBER
NY
01
—
P3584790
OXFORD HEALTH PLANS
NY
Enumeration date
12/27/2006
Last updated
07/08/2007
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