Individual
MS. ALICE BERNICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
57081 STATE HIGHWAY 10, SOUTH KORTRIGHT, NY 13842-2043
(607) 538-1401
(607) 538-1403
Mailing address
57081 STATE HIGHWAY 10, SOUTH KORTRIGHT, NY 13842-2043
(607) 538-1401
(607) 538-1403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004036-1
NY
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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