Alice Bernice Lewis PA

NPI 1740510213 - Physician Assistant - 363A00000X

NPI Details
NPI 1740510213
Gender Female
Enumeration Date 01/06/2010
Last Updated 01/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
57081 STATE HIGHWAY 10
SOUTH KORTRIGHT NY, 13842-2043, US
Phone (607) 538-1401
Fax (607) 538-1403
Business Location
57081 STATE HIGHWAY 10
SOUTH KORTRIGHT NY, 13842-2043, US
Phone (607) 538-1401
Fax (607) 538-1403
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 004036-1
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According to our database, Ms. Alice Bernice Lewis PA NPI is 1740510213, taxonomy code is 363A00000X and license number is 004036-1, license state is located at New York. Alice Bernice Lewis PA physically located at 57081 State Highway 10, South Kortright NY, 13842-2043. NPI Number Alice Bernice Lewis PA has the Individual type.

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1740510213 NPI number is provided on an as is basis without warranty of any kind. 1740510213 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Bernice Lewis PA are for informational purposes only.