| NPI | 1649323601 |
|---|---|
| Doing Business As | MARK B. LEW, MD, LLC PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK B. LEW Owner 718-859-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 133922) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-08-22 |