Healthcare Provider Details

I. General information

NPI: 1316034572
Provider Name (Legal Business Name): LEWIN AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
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: 631-727-7006
  • Fax: 631-727-7008
Mailing address:
  • Phone: 631-727-7006
  • Fax: 631-727-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER L LEWIN
Title or Position: CONTROLLER
Credential: CPA
Phone: 631-727-7006