Individual
BETTY LEW-HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
26 CORONA DR, BETHPAGE, NY 11714-4505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
038049
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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