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1063158970
SHYQUAL M LEWIS
UTICA, NY
NPI
1063158970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
SHYQUAL M LEWIS MD
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149
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Mailing Address
SHYQUAL M LEWIS MD
2209 GENESEE ST BUSINESS OFFICE ROOM 315
UTICA, NY 13501
Phone number: 315-801-3282
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