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Individual

LILY LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355
(718) 670-5486
(718) 670-8988
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-8366
(631) 454-4163

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
137330
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
137330
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00782018
NY
Enumeration date
04/22/2006
Last updated
01/17/2013
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