Provider Demographics
NPI:1770665077
Name:AIUTO, LESLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:AIUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 APPLETREE LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1925
Mailing Address - Country:US
Mailing Address - Phone:516-482-0709
Mailing Address - Fax:516-466-9766
Practice Address - Street 1:3227 LONG BEACH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3651
Practice Address - Country:US
Practice Address - Phone:516-897-5000
Practice Address - Fax:516-431-7519
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176313208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics