Healthcare Provider Details

I. General information

NPI: 1376913988
Provider Name (Legal Business Name): LEWIN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CEDAR GROVE TER
MIDDLE ISLAND NY
11953-1700
US

IV. Provider business mailing address

2 CEDAR GROVE TER
MIDDLE ISLAND NY
11953-1700
US

V. Phone/Fax

Practice location:
  • Phone: 631-924-7665
  • Fax:
Mailing address:
  • Phone: 631-924-7665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number13322331
License Number StateNY

VIII. Authorized Official

Name: VIRGINIA LEWIN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 631-727-7005