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1427107531
TARA MARIE LEWIS
PORT JEFFERSON, NY
NPI
1427107531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381695)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Mrs. TARA MARIE LEWIS N.P.
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6000
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Mailing Address
Mrs. TARA MARIE LEWIS N.P.
6 WINDING WOOD CT
MOUNT SINAI, NY 11766-3319
Phone number: 631-331-3652
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