IndividualActive
Lewis Mooney, MD
NPI 1124042171 · State or Local Public Health Clinic/Center · Brentwood, NY
Provider details
- NPI number
- 1124042171
- Entity type
- Individual
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110494 (NY)
Practice location
1869 Brentwood Rd
Brentwood, NY 11717-4625
Phone: (631) 853-7243
Fax: (631) 853-7250
Mailing address
1869 Brentwood Rd
Brentwood, NY 11717-4625
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.