Organization
LEWIL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORENE GENTRY MSED (PRES)
(917) 532-8267
Entity
Organization
Contact information
Practice address
273 MEDEA WAY, CENTRAL ISLIP, NY 11722-4540
(917) 532-8267
Mailing address
PO BOX 118, CENTRAL ISLIP, NY 11722-4540
(917) 532-8267
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023370889
—
NY
Enumeration date
04/21/2015
Last updated
04/21/2015
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