FRED H. LEWIS MD

Allergy and Immunology

Olean, New York

Provider NPI: 1093714230

Provider Information:
 FRED H. LEWIS MD


Practice Location:
535 MAIN ST  OLEAN, NY 14760 US
Tel: 716-372-0141  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NY	131715
N	2080P0201X	Physicians Pediatrics	NY	131715

Other Provider Identifiers:

Issuer	Number	State	Type
BC/BS	000500015002		01
IHA	0206516		01
	00762327	NY	05
FIDELIS	040426004096		01
UNIVERA	00010264202		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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