Individual
CHRISTOPHER ROY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
10038 194TH ST, HOLLIS, NY 11423-3220
(646) 643-4903
Mailing address
10038 194TH ST, HOLLIS, NY 11423-3220
(646) 643-4903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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