Provider Demographics
NPI:1396084232
Name:LEWIS, SARA ELIZABETH (ANP/GNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:LEWIS
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Gender:F
Credentials:ANP/GNP
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Mailing Address - Street 1:622 W 168TH ST PH-11-1130
Mailing Address - Street 2:NYP/CUIMC - DEPT. OF ORTHOPEDIC SURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-5976
Mailing Address - Fax:212-305-6193
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:NYP-CUIMC DEPT OF ORTHOPEDIC SURGERY - 2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-5974
Practice Address - Fax:212-305-4024
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2020-02-14
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Provider Licenses
StateLicense IDTaxonomies
NYF340803363L00000X
NY340803364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner