MRS. Angelina Jaqueline Lewis

NPI #1457866477 in Mount Vernon, New York

Provider Information

NPI Number: 1457866477
Entity Type: Individual
Name: MRS. Angelina Jaqueline Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2017
Last Updated: Dec 13, 2017

Practice Location

Address: 58 PARKWAY W
City: Mount Vernon
State: New York
ZIP Code: 10552-1141
Phone: (917) 648-0072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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