Provider Demographics
NPI:1710342142
Name:LEWIN, MARIA (LPN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEWIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LANGSCHUR CT
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1320
Mailing Address - Country:US
Mailing Address - Phone:917-612-7988
Mailing Address - Fax:718-401-2799
Practice Address - Street 1:9 LANGSCHUR CT
Practice Address - Street 2:
Practice Address - City:THIELLS
Practice Address - State:NY
Practice Address - Zip Code:10984-1320
Practice Address - Country:US
Practice Address - Phone:917-612-7988
Practice Address - Fax:718-401-2799
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175401164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse