Lewis, Edward David

Lewis, Edward David is an sole proprietor health care provider with primary practice located at 880 Westfall Rd Suite E, Rochester NY 14618-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lewis, Edward David can be contacted via phone (585) 442-1421.

Contact Information

Primary practice address
880 Westfall Rd Suite E Rochester NY 14618-2611
Fax: (585) 442-6882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 141956 New York

Profile Details

NPI number 1033190590
LBN Legal business name Lewis, Edward David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033190590 NPPES
New York MEDICAID 00564925

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