JASON CHARLES LEWIS

ROCKVILLE CENTRE, NY
NPI1780017012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2013-08-09
Last Update Date2013-08-09
Business Address
-- JASON CHARLES LEWIS
537 JEFFERSON AVE
ROCKVILLE CENTRE, NY 11570-3311
Phone number: 917-662-6355
Mailing Address
-- JASON CHARLES LEWIS
537 JEFFERSON AVE
ROCKVILLE CENTRE, NY 11570-3311
Phone number:
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