Maxine Andrea Lewis, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Massapequa PK, NY
NPI 1780915280 · NPPES record last updated Jan 22, 2010
Key facts
- NPI
- 1780915280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 404470 (NY)
- Practice address
- 38 Town House Dr
Massapequa PK, NY 11762-1162 - Phone
- (516) 244-1683
- Fax
- (516) 308-4131
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 404470 | NY | Yes |
Addresses
Primary practice location
38 Town House Dr
Massapequa PK, NY 11762-1162
Mailing address
38 Town House Dr
Massapequa PK, NY 11762-1162
Phone (516) 244-1683
Other providers in Massapequa PK, NY
All providers in Massapequa PK, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.