| | Physician Last Name: | Theodore |
| | Physician First Name: | Leslie |
| | Physician Middle Name: | D |
| | Address: | 1885 Grand Avenue
Baldwin, NY 11510 |
| | License Number: | 185234 |
| | License Type: | MD |
| | Year of Birth: |
1952
|
| | Effective Date: | 10/17/2014 |
| | Action Description for DOH Webpage: | License revocation. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the physician guilty of having been convicted in United States District Court, Southern District of New York of conspiring to commit mail and health care fraud. Previously on July 15, 2014 the physician’s New York State medical license was summarily suspended by the New York State Commissioner of Health. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
