Bateman, Lewis Lee

Bateman, Lewis Lee is an sole proprietor health care provider with primary practice located at 125 Oakland Ave Suite 205 Mather Primary Care, Port Jefferson NY 11777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bateman, Lewis Lee can be contacted via phone (631) 686-2523.

Contact Information

Primary practice address
125 Oakland Ave Suite 205 Mather Primary Care Port Jefferson NY 11777
Fax: (631) 686-2525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 124006 New York

Profile Details

NPI number 1396749669
LBN Legal business name Bateman, Lewis Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Oct 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396749669 NPPES
New York MEDICAID 00349642

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