Individual
JANE CHRISTINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
207 HALLOCK RD, SUITE 201, STONY BROOK, NY 11790-3033
(631) 689-8920
(631) 689-8955
Mailing address
207 HALLOCK RD, SUITE 201, STONY BROOK, NY 11790-3033
(631) 689-8920
(631) 689-8955
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
236223
NY
163WH0200X
Home Health Registered Nurse
236223
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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