Healthcare Provider Details

I. General information

NPI: 1649426586
Provider Name (Legal Business Name): PATRICIA EDITH LEWANDOWSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST T-80
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

1355 TWO ROD RD
ALDEN NY
14004-9535
US

V. Phone/Fax

Practice location:
  • Phone: 716-961-6885
  • Fax: 716-961-6892
Mailing address:
  • Phone: 716-937-7661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number330267
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: