Individual
AYOLA LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2049
(646) 620-4451
Mailing address
3001 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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