Individual provider · Type 1 NPI
Gwendolyn Lewis
Administrator Registered Nurse · Brooklyn, NY
NPI number
1902711096
Active
Practice location
528 Prospect Pl
Brooklyn, NY 11238-4205
Fax (718) 504-3881
Other practice locations
- 1110 Eastern Pkwy, Brooklyn, NY 11213-4881 · (347) 585-6493
- 1 Brookdale Plz, Brooklyn, NY 11212-3139 · (347) 585-6493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 302922-1 (NY) |
Administrator Registered Nurse: Definition to come...
4 other providers at this address
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About NPI 1902711096
Gwendolyn Lewis's National Provider Identifier is 1902711096, issued on Aug 14, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 14, 2026.