Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Robert Lewis, NYCPS-3799

Individual provider Peer Specialist · NPI 1467064832

Kenneth Robert Lewis, NYCPS-3799 is a Peer Specialist in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

320 N Goodman St Ste 202320
Rochester, NY 14607-1185
Phone: (585) 325-3145
Fax: (585) 244-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-3799 (NY)

Record details

NPI number1467064832
Entity typeIndividual (Type 1)
GenderMale
Credentials NYCPS-3799
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

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