Provider Demographics
NPI:1205201332
Name:LEWIN-HARRIS BEY, LOTOYA KADESHIA (AGNP)
Entity Type:Individual
Prefix:
First Name:LOTOYA
Middle Name:KADESHIA
Last Name:LEWIN-HARRIS BEY
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 EILEEN WAY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5313
Mailing Address - Country:US
Mailing Address - Phone:516-855-5255
Mailing Address - Fax:866-677-7622
Practice Address - Street 1:150 EILEEN WAY UNIT 1
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791
Practice Address - Country:US
Practice Address - Phone:516-855-5255
Practice Address - Fax:866-677-7622
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627236163W00000X
NYF307665363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty