Provider Demographics
NPI:1942562970
Name:LEWEK, EMILY S
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:S
Last Name:LEWEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 PASHLEY RD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-5608
Mailing Address - Country:US
Mailing Address - Phone:518-817-1269
Mailing Address - Fax:
Practice Address - Street 1:134 PASHLEY RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-5608
Practice Address - Country:US
Practice Address - Phone:518-817-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1325258174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist