Individual
DR. BRADLEY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 BROADWAY, 7TH FLOOR, NEW YORK, NY 10010-7108
(212) 989-2990
Mailing address
400 BROOME ST, #412, NEW YORK, NY 10013-3238
(212) 998-7313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220592-1
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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