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NPI Code Detail

MEDICARE: NINA MARIE LEWIS

MEDICARE: NINA MARIE LEWIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker122403NY

General Provider Information

NPI Number : 1245934280
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA MARIE LEWIS
Provider Business Mailing Address
First Line : 227 THORN AVE
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-2600
Country : US
Telephone Number : 716-662-2040
Fax Number : 716-662-0019
Provider Business Practice Location Address
First Line : 2412 SENECA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14210-2662
Country : US
Telephone Number : 716-566-6507
Fax Number : 866-242-7286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 12/20/2023

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Directions to “ NINA MARIE LEWIS ” Practice Location

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