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NPI Code Detail

MEDICARE: DR. CLEVELAND WILLIAM LEWIS JR.

MEDICARE: DR. CLEVELAND WILLIAM LEWIS JR.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician73841CT
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician228671NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710984398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLEVELAND WILLIAM LEWIS JR.
Provider Business Mailing Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-7575
Fax Number : 845-333-3641
Provider Business Practice Location Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-7575
Fax Number : 845-333-3641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/30/2023

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