Provider Demographics
NPI:1740368331
Name:LEWISON, CHERYL SCHREIBER (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:SCHREIBER
Last Name:LEWISON
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 1:8268 164TH ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1121
Mailing Address - Country:US
Mailing Address - Phone:718-883-3090
Mailing Address - Fax:718-883-6115
Practice Address - Street 1:8268 164TH ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1121
Practice Address - Country:US
Practice Address - Phone:718-883-3090
Practice Address - Fax:718-883-6115
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230306207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00246075Medicaid
NY0033S231Medicare ID - Type Unspecified