Individual
DR. LEWIS A GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163
(315) 366-2327
(315) 366-2599
Mailing address
7026 WOODCHUCK HILL RD, FAYETTEVILLE, NY 13066-9764
(315) 426-3600
(315) 426-7601
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
150566-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569860
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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