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Contact Information

JEFFREY S LEWIS, M.D., D.M.D.
200 EAST BUFFALO STREET
SUITE 304
ITHACA, NY14850
 Phone: 607-277-7007
 Fax: 607-277-5434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JEFFREY S LEWIS · (Male)

NPI # 1689761025
Status Active
Credentials M.D., D.M.D.
Entity Individual
Enumeration date 10/06/2006
Last updated 12/14/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 197617-1
  • NY License # 544761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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