Healthcare Provider Details

I. General information

NPI: 1114014370
Provider Name (Legal Business Name): LEWIN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 OLIVER ST
RIVERHEAD NY
11901-6216
US

IV. Provider business mailing address

165 OLIVER ST
RIVERHEAD NY
11901-6216
US

V. Phone/Fax

Practice location:
  • Phone: 631-727-7005
  • Fax: 631-727-7088
Mailing address:
  • Phone: 631-727-7005
  • Fax: 631-727-7088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0347L001
License Number StateNY

VIII. Authorized Official

Name: MR. LEROY W. LEWIN
Title or Position: VP
Credential:
Phone: 631-727-7005