Provider Demographics
NPI:1881767150
Name:HOILETTE, LEESHA KERENE (MD)
Entity type:Individual
Prefix:
First Name:LEESHA
Middle Name:KERENE
Last Name:HOILETTE
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 1:55 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2927
Mailing Address - Country:US
Mailing Address - Phone:585-758-0750
Mailing Address - Fax:585-872-0876
Practice Address - Street 1:55 BARRETT DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580
Practice Address - Country:US
Practice Address - Phone:585-758-0750
Practice Address - Fax:585-872-0876
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253815208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics