Individual
MARY LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
30 LAKE AVENUE, OYSTER BAY, NY 11771
(516) 220-3507
Mailing address
30 LAKE AVENUE, OYSTER BAY, NY 11771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004593
NY
Other
Enumeration date
07/21/2008
Last updated
02/02/2016
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