Individual provider · Type 1 NPI

Heaven Ann-Marie Pentecost-Lewis, MS

Specialist · Vestal, NY

NPI number 1235667809 Active

Practice location

4104 Vestal Rd
Vestal, NY 13850-3500

Mailing address

20 Gaylord St
Binghamton, NY 13904-1608

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1235667809

Heaven Ann-Marie Pentecost-Lewis, MS's National Provider Identifier is 1235667809, issued on May 26, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vestal, NY. The record was last updated on May 26, 2017.