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DR. LESLIE THEODORE MD NPI 1710997879


NPI Information

NPI: 1710997879
Provider Name: DR. LESLIE THEODORE, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1545 ATLANTIC AVE
BROOKLYN, NY
ZIP 11213
Phone: (800) 376-5566
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DR. Leslie Theodore, MD is an internal medicine in Brooklyn, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Leslie Theodore, MD NPI is 1710997879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1545 ATLANTIC AVE
BROOKLYN, NY
ZIP 11213-122
Phone: (800) 376-5566

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine185234NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105G14MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
201374203MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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