Individual
ASHANTI TANESHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
433 RIVER ST STE 3000, TROY, NY 12180-2250
(518) 274-6200
Mailing address
23 GLENNON RD, LATHAM, NY 12110-5127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673572
NY
363LF0000X
Family Nurse Practitioner
Primary
357165
NY
Other
Enumeration date
06/23/2025
Last updated
08/27/2025
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