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Individual

DR. OWEN W LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 EAST 87TH STREET, NEW YORK, NY 10128
(212) 996-8196
Mailing address
24 EAST 82ND STREET, NEW YORK, NY 10028
(212) 996-8196

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
131127
NY

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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