Individual
DWIGHT D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3125 MAIN ST, BUFFALO, NY 14214-1305
(716) 834-1455
(716) 834-1456
Mailing address
3125 MAIN ST, BUFFALO, NY 14214-1305
(716) 834-1455
(716) 834-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010103901
UNIVERA
NY
01
—
000523295002
BLUE CROSS-BLU SHIELD WNY
NY
01
—
000523295006
BLUE SHIELD
NY
05
—
01592474
—
NY
01
—
0406468
INDEPENDENT HEALTH
NY
01
—
161589460
UNITED HEALTH CARE
NY
01
—
429874
WELLCARE
NY
01
—
930129182
RAILROAD MEDICARE
NY
Enumeration date
07/10/2006
Last updated
01/23/2013
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