Basic Information
Provider Information
NPI: 1073529772
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LESSER
FirstName: HAROLD
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 SULLYS TRL
Address2: B U I L D I N G 20
City: PITTSFORD
State: NY
PostalCode: 145344552
CountryCode: US
TelephoneNumber: 5855447979
FaxNumber: 5855447901
Practice Location
Address1: 101 SULLYS TRL
Address2: B U I L D I N G 20
City: PITTSFORD
State: NY
PostalCode: 145344552
CountryCode: US
TelephoneNumber: 5855447979
FaxNumber: 5855447901
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 06/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X196107NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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