Individual
DR. DEREK ANTHONY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 LOCKWOOD AVE SUITE 101, NEW ROCHELLE, NY 10801-5010
(914) 654-9973
(914) 654-8610
Mailing address
110 LOCKWOOD AVE SUITE 101, NEW ROCHELLE, NY 10801-5010
(914) 654-9973
(914) 654-8610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00891869
—
NY
Enumeration date
08/26/2006
Last updated
07/08/2007
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