Lewiston Village Pediatrics

NPI #1629177134 in Lewiston, New York

Provider Information

NPI Number: 1629177134
Entity Type: Organization
Organization Name: Lewiston Village Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Sep 21, 2006
Last Updated: Aug 4, 2016

Practice Location

Address: 733 CENTER STREET
City: Lewiston
State: New York
ZIP Code: 14092
Phone: (716) 754-7337

Authorized Official

Name: MR. SHAWN P FERGUSON, M.D.
Title: PRESIDENT
Phone: (716) 754-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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