Individual
LESTER SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
494 ELM ST, STAMFORD, CT 06902-5115
(203) 325-0200
Mailing address
105 GAYMOOR DR, STAMFORD, CT 06907-1331
(203) 979-6075
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1588
CT
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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