Provider Demographics
NPI:1053410654
Name:BUSSEY, LESTER F (MD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:F
Last Name:BUSSEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:34 LIVINGSTON ST
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4713
Practice Address - Country:US
Practice Address - Phone:845-240-7860
Practice Address - Fax:845-471-2579
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-12-03
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Provider Licenses
StateLicense IDTaxonomies
NY222313207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02227998Medicaid
NY02227998Medicaid
NYA400088223Medicare PIN
NYH57675Medicare UPIN