Individual ProviderFrederick LewisInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1900 Second Avenue, 9th Floor, New York, NY 10029(212) 360-7893PECOS EnrollmentBased on the most recent information from CMS, provider Frederick Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1639273998Provider TypeIndividualFull NameLewis, FrederickCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1900 Second Avenue, 9th Floor, New York, NY 10029Phone(212) 360-7893Fax(212) 348-7253Mailing LocationMailing Address1900 Second Avenue, 9th Floor, New York, NY 10029Phone(212) 360-7893Fax(212) 348-7253Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense112600New York