Provider Demographics
NPI:1942535406
Name:LEWIN, ROXANNE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:MARIE
Last Name:LEWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 E 98TH ST
Mailing Address - Street 2:APT 11G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-1356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:660 E 98TH ST
Practice Address - Street 2:APT 11G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-1356
Practice Address - Country:US
Practice Address - Phone:646-725-9789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2551172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry