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1710997879
LESLIE THEODORE
BROOKLYN, NY
NPI
1710997879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 185234)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Dr. LESLIE THEODORE MD
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 800-376-5566
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Mailing Address
Dr. LESLIE THEODORE MD
683 HALF HOLLOW RD
DIX HILLS, NY 11746-6232
Phone number: 631-960-2544
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