1689716052 NPI number — LESLY STTETY HONORE MD, DPM

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689716052 NPI number — LESLY STTETY HONORE MD, DPM

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HONORE

Provider First Name:

LESLY

Provider Middle Name:

STTETY

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD, DPM

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1689716052

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

01/09/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

981 ROSEDALE RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

VALLEY STREAM

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

11581

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

516-295-6307

Provider Business Mailing Address Fax Number:

516-295-6308

Provider First Line Business Practice Location Address:

6 CLARENDON RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

HEMPSTEAD

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

11550-5315

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

516-565-5666

Provider Business Practice Location Address Fax Number:

516-565-5665

Provider Enumeration Date:

02/13/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  ME109916 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: MD4425509 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 213E00000X , with the licence number: N005654 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: 261517 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 2024130 . This is a "UNITED HEALTH CARE COMMER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2700932 . This is a "UNITED HEALTH CARE GOVERN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3036616 . This is a "CIGNA HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 100202413001 . This is a "UNITED HEALTH CARE MEDICA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 480031315 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 000000073671 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 172884 . This is a "ELDERPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2496744 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4476840001 . This is a "DME MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: PB849 . This is a "EMPIRE BLUE SHIELD BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 00932 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 114649 . This is a "VYTRA HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4C2124 . This is a "PHYSICIAN HEALTH SVCS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 02117944 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 9677774 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7525222 . This is a "AETNA PPO POS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P2181026 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".