Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 230832 | NY |
N | 111NI0900X | Internist | 230832 | NY |
Y | 207RG0300X | Geriatric Medicine | 230832 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 230832 | NY |
NPI | 1053375378 |
---|---|
Provider Name | Dr. Paula Lester |
First Address | Mineola, NY 11501-3808 |
Second Address | Mineola, NY 11501-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02677618 | (05) | NY |
I42511 | (02) | NY |