National Provider Identifier
Maryetta Lewis
Maryetta Lewis is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Sanborn, NY and a listed phone number of (716) 731-2030.
Profile Overview
- NPI
- 1245529890
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 05, 2011
- Last Updated
- April 05, 2011
Practice Location
- 6301 Inducon Dr E
- Sanborn, NY 14132-9014
Phone: (716) 731-2030
Mailing Address
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1245529890
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Maryetta
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Practice Street Address
- 6301 Inducon Dr E
- Practice City
- Sanborn
- Practice State
- NY
- Practice ZIP Code
- 14132-9014
- Practice Country
- US
- Practice Phone
- (716) 731-2030
- Practice Fax
- (716) 731-3010
- Enumeration Date
- April 05, 2011
- Last Updated
- April 05, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)