Individual
COLIN ANDREW LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 JEWETT PKWY, BUFFALO, NY 14214-2391
(716) 533-4300
Mailing address
614 TACOMA AVE UPPR, BUFFALO, NY 14216-2409
(585) 350-9319
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21440
—
NY
Enumeration date
05/13/2019
Last updated
05/13/2019
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