What is Samantha Lewis's NPI number?

The NPI number assigned to this healthcare provider is 1104846724, enumerated as a individual on July 19, 2006.

Where is the provider located?

The provider is located at 1075 BROADWAY PLEASANTVILLE, NY 10570 and the phone number is (914) 773-6901.

What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

SAMANTHA RAQUEL LEWIS NP - NPI 1104846724 - Nurse Practitioner in Pleasantville, NY

On this page

About Samantha Raquel Lewis Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA RAQUEL LEWIS NP (NPI 1104846724) is an individual psychiatric/mental health provider in Pleasantville, New York, licensed in New York (401200) and active in the NPI registry since July 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104846724

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA RAQUEL LEWISCredential: NP

Location Address1075 BROADWAYPleasantville, NY 10570

Mailing Address1008 Hazel DrEndicott, NY 13760-2634 · (607) 624-4467

Phone(914) 773-6901

Fax(914) 769-8505

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 23, 20183 updates tracked since enumeration

✔ NPI 1104846724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 401200

Also ListedRegistered NurseTaxonomy 163W00000X · License 145622 (CT)

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 517976-1 (NY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 7304 (CT)

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 320051 (NY)

1075 BROADWAY, Pleasantville, NY 10570

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1303 Main St, The Corner for Youth & Family ServicesBinghamton, NY 13905-2524 · Phone (607) 584-4465

Location 243 Woodland St Ste 400Hartford, CT 06105-2370 · Phone (860) 793-3500

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA LAWRENCE L.C.S.W.

Social Worker (Clinical)

1075 BROADWAY
PLEASANTVILLE, NY 10570

Westchester County (914) 773-6179

ANNE BRESNAHAN CASAC