MEDICARE: DAVID I. LESTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X005615-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CO-5615-4	OTHER	NY	WORKERS COMP AUTH #

General Provider Information

NPI Number	:	1225023880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID I. LESTER D.C.

Provider Business Mailing Address
First Line	:	652 ROUTE 299 STE 202
Second Line	:
City	:	HIGHLAND
State	:	NY
Zip	:	12528-2926
Country	:	US
Telephone Number	:	845-255-3300
Fax Number	:	845-255-4220

Provider Business Practice Location Address
First Line	:	652 ROUTE 299 STE 202
Second Line	:
City	:	HIGHLAND
State	:	NY
Zip	:	12528-2926
Country	:	US
Telephone Number	:	845-255-3300
Fax Number	:	845-255-4220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	11/23/2022

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