Individual
EMIKA IKEGAMI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
546 NOSTRAND AVE, BROOKLYN, NY 11216-2013
(718) 230-0774
Mailing address
72 WILLOUGHBY ST APT 2E, BROOKLYN, NY 11201-2826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009793-01
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV009793-01
NY
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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