Healthcare Provider Details

I. General information

NPI: 1942097027
Provider Name (Legal Business Name): MUNAIR LEWIS-FRANCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 08/05/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633D MEDICAL GROUP 77 NEALY AVENUE
HAMPTON VA
23665
US

IV. Provider business mailing address

3450 EDSON AVE
BRONX NY
10469-2609
US

V. Phone/Fax

Practice location:
  • Phone: 757-764-8290
  • Fax:
Mailing address:
  • Phone: 718-304-4076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045284
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: