MEDICARE: DR. LESLIE A HAYES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	186473	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326056623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE A HAYES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5444
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-5444
Country	:	US
Telephone Number	:	718-780-5268
Fax Number	:	718-780-3266

Provider Business Practice Location Address
First Line	:	263 7TH AVE
Second Line	:	3RD FLOOR - PEDIATRICS
City	:	BROOKLYN
State	:	NY
Zip	:	11215-7247
Country	:	US
Telephone Number	:	718-780-5268
Fax Number	:	718-780-3266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	02/25/2013

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