National Provider Identifier
Cody Glenn Lewis, DO
Cody Glenn Lewis, DO is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 922-4159.
Profile Overview
- NPI
- 1265061634
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- April 07, 2020
- Last Updated
- February 18, 2025
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4159
Mailing Address
- 130 Allens Creek RD
- Rochester, NY 14618-3305
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1265061634
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Cody
- Middle Name
- Glenn
- Credential
- DO
- Mailing Street Address
- 130 Allens Creek RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3305
- Mailing Country
- US
- Mailing Phone
- (585) 410-6545
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4159
- Practice Fax
- (585) 922-3731
- Enumeration Date
- April 07, 2020
- Last Updated
- February 18, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)