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Organization

LEWIS BASS DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEWIS BASS MD (PRESIDENT)
(516) 625-1944
Entity
Organization

Contact information

Practice address
58 50 CATALPA AVE, RIDGEWOOD, NY 11385-5032
(718) 821-1969
(718) 821-1125
Mailing address
31 PEACOCK DR, ROSLYN, NY 11576-2522
(516) 625-1944
(516) 626-6680

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
124814
NY
207Q00000X
Family Medicine Physician
Primary
124814
NY

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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