| Doctor Name: | MRS. ANJANI GHATALIA LEWICK |
| NPI Number: | 1396840971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 489-156 |
| Business Practice Address: | Route 9d Castle Point, NY - 12511 |
| Business Phone Number: | 8458312000 |
| Business Fax Number: | 8458385262 |
| Mailing Address: | 52 Victoria Drive, POUGHQUAG |
| State: | NY |
| Postal Code: | 12570 |
| Phone Number: | 8457245095 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 489-156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |