Lewis W Brindis, PA

Individual provider Active NPI Physician Assistant · Clayton, NY

NPI 1871531301 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1871531301
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
000974 (NY)
Practice address
909 Strawberry LN
Clayton, NY 13624-1409
Phone
(315) 686-2094
Fax
(315) 686-2821
NPI assigned
Jun 4, 2006
Sex
Male
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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
974NYMDBehavioral Analyst
000974NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000974 NY Yes

Addresses

Primary practice location

909 Strawberry LN
Clayton, NY 13624-1409

Mailing address

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 686-2094

Other identifiers

IdentifierTypeStateIssuer
00354316MedicaidNY

Other providers in Clayton, NY

All providers in Clayton, NY · Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.