Individual
MARY AGNES PAVLOVICH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST RM 4143, SYRACUSE, NY 13210-2306
(315) 464-4720
Mailing address
750 E ADAMS ST RM 4143, SYRACUSE, NY 13210-2306
(315) 464-4720
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
335849-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
07/21/2025
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