Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leslie Theodore, MD

Individual provider Internal Medicine Physician · NPI 1710997879

Dr. Leslie Theodore, MD is an Internal Medicine Physician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone: (800) 376-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 185234 (NY)

Record details

NPI number1710997879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 8, 2007
Mailing address683 Half Hollow Rd, Dix Hills, NY 11746-6232

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