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Alexandra Lewis, CPNP
Pediatric Nurse Practitioner in Stony Brook, New York
NPI 1629659164

Alexandra Lewis is a Pediatric Nurse Practitioner based in East Northport, NY and is specialized in Pediatrics. Alexandra Lewis practices in Stony Brook, NY and has the professional credentials of CPNP. The NPI Number for Alexandra Lewis is 1629659164 and holds a License No. F383169-01 (New York).

The current practice location address for Alexandra Lewis is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-707-2707.

Location: 101 Nicolls Rd, Stony Brook, NY, 11731-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629659164
Provider Name
Alexandra Lewis
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11731-2002
Phone Number
631-707-2707
Fax Number
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-2002
Phone Number
631-707-2707
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-2002
Phone Number
631-707-2707
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
F383169-01 (New York)
Definition
Definition to come...
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