Provider Demographics
NPI:1164637526
Name:LEWIS, ZALMAN STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZALMAN
Middle Name:STEVEN
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1602
Mailing Address - Country:US
Mailing Address - Phone:845-354-6334
Mailing Address - Fax:845-354-6334
Practice Address - Street 1:5 PATRICIA LN
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1602
Practice Address - Country:US
Practice Address - Phone:845-354-6334
Practice Address - Fax:845-354-6334
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22DI016224001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics