Most Relevant Information
Provider Data
| NPI Number: | 1699778746 |
| Provider Name: | LESLIE B COOPERMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | 107129 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 04/04/2011 |
Provider Practice Location
1010 NORTHERN BLVD
STE 110
GREAT NECK
NY
110215306
Practice Location Phone/Fax
| Phone: | 5163902420 |
| Fax: | 5164827955 |
Provider Mailing Location
1010 NORTHERN BLVD
STE 110
GREAT NECK
NY
110215306
Provider Mailing Phone/Fax
| Phone: | 5163902420 |
| Fax: | 5164827955 |
Suggested EMR
Internist EMR