Individual
MS. AMANDA J. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
5130 E MAIN ST STE 2, BATAVIA, NY 14020-3444
(585) 344-1421
(585) 345-3080
Mailing address
56 BERESFORD RD, ROCHESTER, NY 14610-1903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401378-1
NY
Other
Enumeration date
07/07/2011
Last updated
03/12/2024
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