Individual
ANTHONY J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
863 FISKE RD, WEST CHAZY, NY 12992-3425
(518) 561-3803
Mailing address
863 FISKE RD, WEST CHAZY, NY 12992-3425
(518) 561-3803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019048
NY
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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