Individual provider · Type 1 NPI

Dominique Lewis

Student in an Organized Health Care Education/Training Program · Goshen, NY

NPI number 1629901640 Active

Practice location

30 Matthews St
Goshen, NY 10924-1963

Call (845) 549-6455 Map

Mailing address

2101 Snake Hill Rd
New Windsor, NY 12553-4848

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629901640

Dominique Lewis's National Provider Identifier is 1629901640, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Goshen, NY. The record was last updated on Jun 8, 2026.