KELLY LEWIS

SMITHTOWN, NY
NPI1952664781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  027643001)
Enumeration Date2012-06-18
Last Update Date2012-06-18
Business Address
-- KELLY LEWIS
27 WYANDANCH BLVD
SMITHTOWN, NY 11787-3918
Phone number: 631-670-7580
Mailing Address
-- KELLY LEWIS
27 WYANDANCH BLVD
SMITHTOWN, NY 11787-3918
Phone number: 631-670-7580