Provider Demographics
NPI:1700346376
Name:KLYACHMAN, LESLIE ESTHER (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ESTHER
Last Name:KLYACHMAN
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 1:4023 GREENTREE DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5948
Mailing Address - Country:US
Mailing Address - Phone:516-589-4494
Mailing Address - Fax:
Practice Address - Street 1:285 SILLS ROAD, BUILDINGS 5-6, SUIT H
Practice Address - Street 2:NYU LANGONE MEDICAL ASSOCIATES
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772
Practice Address - Country:US
Practice Address - Phone:516-589-4494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY326020-01207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program