Dr MARYELLEN C LEWIS is a female medical professional, specializing in Family Medicine. She graduated in 2007 from State University Of New York Health Science Center Of Syracuse.
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVE
SYRACUSE
NY
132031807
Tel:
| Npi | 1114133402 |
| Pac Id | 9739371667 |
| Professional Enrollment Id | I20101011000000 |
| Last Name | LEWIS |
| First Name | MARYELLEN |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Group Practice Pac Id | 9234043324 |
| Number Of Group Practice Members | 67 |
| Line 1 Street Address | 301 PROSPECT AVE |
| Line 2 Street Address | |
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| City | SYRACUSE |
| State | NY |
| Zip Code | 132031807 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330140 |
| Hospital Affiliation Lbn 1 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
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| Professional Accepts Medicare Assignment | Y |
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