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NPI Code Detail

MEDICARE: LYNDA S STREETT MD

MEDICARE: LYNDA S STREETT MD
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
1207RI0200XInfectious Disease Physician040538CT

General Provider Information

NPI Number : 1992777114
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA S STREETT MD
Provider Business Mailing Address
First Line : 29 HOSPITAL PLAZA
Second Line : SUITE 605
City : STAMFORD
State : CT
Zip : 06902-3602
Country : US
Telephone Number : 203-353-1427
Fax Number : 203-276-7775
Provider Business Practice Location Address
First Line : 29 HOSPITAL PLAZA
Second Line : SUITE 605
City : STAMFORD
State : CT
Zip : 06902-3602
Country : US
Telephone Number : 203-353-1427
Fax Number : 203-276-7775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 01/13/2017

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