MEDICARE: AMY B LEWIS & ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1538739107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY B LEWIS & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	120 E 75TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-3240
Country	:	US
Telephone Number	:	212-288-6133
Fax Number	:

Provider Business Practice Location Address
First Line	:	172 E 75TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-3451
Country	:	US
Telephone Number	:	212-288-6133
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. NANCY OSORIO
Credential	:
Telephone Number	:	212-288-6133

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/28/2021

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