Doctor Name: | SARA ELIZABETH LEWIS |
NPI Number: | 1396084232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP/GNP |
License Number: | 305676 |
Business Practice Address: | 8230 138th St Apt. 3l Briarwood, NY - 114351481 |
Business Phone Number: | 7188479195 |
Business Fax Number: | |
Mailing Address: | 8230 138th St, Apt. 3l BRIARWOOD |
State: | NY |
Postal Code: | 114351481 |
Phone Number: | 7188479195 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 305676 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |