Individual
MATHILDA TESS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
472 CENTRAL PARK W, NEW YORK, NY 10025-3317
(804) 869-7944
Mailing address
472 CENTRAL PARK W, NEW YORK, NY 10025-3317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86447687
—
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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