Provider Demographics
NPI:1316034572
Name:LEWIN AGENCY, INC.
Entity Type:Organization
Organization Name:LEWIN AGENCY, INC.
Other - Org Name:LEWIN MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEWIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:631-727-7006
Mailing Address - Street 1:165 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-6216
Mailing Address - Country:US
Mailing Address - Phone:631-727-7006
Mailing Address - Fax:631-727-7008
Practice Address - Street 1:165 OLIVER ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-6216
Practice Address - Country:US
Practice Address - Phone:631-727-7006
Practice Address - Fax:631-727-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01240142Medicaid
NY0254100001Medicare NSC