IndividualActive
Alexandra Lewis, CPNP
NPI 1629659164 · Pediatric Nurse Practitioner · Stony Brook, NY
Provider details
- NPI number
- 1629659164
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F383169-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-2002
Phone: (631) 707-2707
Approximate (ZIP-level) locationGet directions
Mailing address
15 Cullen Dr
East Northport, NY 11731-2002
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2023-04-21
- Certified
- 2023-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.