Individual
AMBER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 GREENWAY BLVD, VALLEY STREAM, NY 11580-1243
(516) 761-0761
Mailing address
1671 GREENWAY BLVD, VALLEY STREAM, NY 11580-1243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
738133
NY
Other
Enumeration date
12/06/2017
Last updated
06/16/2018
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