Provider Demographics
NPI:1689716052
Name:HONORE, LESLY STTETY (MD, DPM)
Entity Type:Individual
Prefix:
First Name:LESLY
Middle Name:STTETY
Last Name:HONORE
Suffix:
Gender:M
Credentials:MD, DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 ROSEDALE RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581
Mailing Address - Country:US
Mailing Address - Phone:516-295-6307
Mailing Address - Fax:516-295-6308
Practice Address - Street 1:6 CLARENDON RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-5315
Practice Address - Country:US
Practice Address - Phone:516-565-5666
Practice Address - Fax:516-565-5665
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109916207R00000X
PAMD4425509207R00000X
NYN005654213E00000X
NY261517207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2024130OtherUNITED HEALTH CARE COMMER
NY2700932OtherUNITED HEALTH CARE GOVERN
NY3036616OtherCIGNA HEALTH CARE
NY100202413001OtherUNITED HEALTH CARE MEDICA
NY480031315OtherMEDICARE RAILROAD
NY000000073671OtherGHI HMO
NY172884OtherELDERPLAN
NY2496744OtherAETNA HMO
NY4476840001OtherDME MEDICARE
NYPB849OtherEMPIRE BLUE SHIELD BCBS
NY00932OtherHIP
NY114649OtherVYTRA HEALTH PLANS
NY4C2124OtherPHYSICIAN HEALTH SVCS
NY02117944Medicaid
NY9677774OtherGHI
NY7525222OtherAETNA PPO POS
NYP2181026OtherOXFORD HEALTH PLANS
NYPB8491Medicare ID - Type Unspecified
NY9677774OtherGHI
NY172884OtherELDERPLAN