Individual
DR. LINDA DONELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 W 168TH STREET, NEW YORK, NY 10032-2699
(212) 305-5246
(212) 305-1679
Mailing address
710 W 168TH STREET, NEW YORK, NY 10032-2699
(212) 305-5246
(212) 305-1679
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
104030
NY
208M00000X
Hospitalist Physician
Primary
104030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180745
—
NY
Enumeration date
09/29/2006
Last updated
03/27/2020
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