Organization
LDT MEDICAL,PC
Active
Organization
LDT MEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE D THEODORE MD (DIRECTOR)
(631) 960-2544
Entity
Organization
Contact information
Practice address
1 CROSS ISLAND PLZ, ROSEDALE, NY 11422-1465
(718) 525-9800
(718) 525-9801
Mailing address
1 CROSS ISLAND PLZ, ROSEDALE, NY 11422-1465
(718) 525-9800
(718) 525-9801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
185234
NY
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up