Healthcare Provider Details

I. General information

NPI: 1629422589
Provider Name (Legal Business Name): LESLIE HAYES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LESLIE HOTCHKISS HOTCHKISS M.D.

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 176-355-6000
  • Fax:
Mailing address:
  • Phone: 914-672-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number281938
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number281938
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: