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Kelly Lewis

NPI 1952664781 · on the registry since 2012 · sole proprietor

Practice

Address
27 Wyandanch Blvd
Smithtown, NY 11787
Phone
(631) 670-7580
Fax
(631) 630-6889

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York