Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 162772 | NY |
NPI | 1255569182 |
---|---|
Provider Name | Dr. Benisse Lester |
First Address | Washington, DC 20024-4605 |
Second Address | Washington, DC 20024-4605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 30/06/2009 |