Individual
ALYSIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 ROUTE 38, OWEGO, NY 13827
(607) 687-8610
Mailing address
1498 HALSEY VALLEY RD LOT 3, SPENCER, NY 14883-9323
(607) 687-8610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T171M00000X
HEALTH DEPARTMENT
NY
Enumeration date
10/09/2015
Last updated
10/09/2015
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