Provider Demographics
NPI:1669424081
Name:SIELSKI, LESTER S (MD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:S
Last Name:SIELSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4239 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1039
Mailing Address - Country:US
Mailing Address - Phone:716-835-2984
Mailing Address - Fax:716-835-1470
Practice Address - Street 1:4239 MAPLE RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1039
Practice Address - Country:US
Practice Address - Phone:716-835-2984
Practice Address - Fax:716-835-1470
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY106124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB71466Medicare UPIN
NY054821Medicare PIN