MEDICARE: PAULA LEWIS M.D.

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	207R00000X	Internal Medicine Physician	167829	NY

General Provider Information

NPI Number	:	1689775066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA LEWIS M.D.

Provider Business Mailing Address
First Line	:	3083 HEWLETT AVE
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-5328
Country	:	US
Telephone Number	:	516-867-5745
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 OCEAN PKWY
Second Line	:	STE #1H
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2567
Country	:	US
Telephone Number	:	718-853-5560
Fax Number	:	718-853-5567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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