Individual ProviderLeslie CoopersmithInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address133 Scovill St, Suite 101, Waterbury, CT 06706-1127(203) 709-5680(203) 709-8873PECOS EnrollmentBased on the most recent information from CMS, provider Leslie Coopersmith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1801844147Provider TypeIndividualFull NameCoopersmith, LeslieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/5/2006Last Updated2/23/2013Contact InformationPractice LocationPractice Address133 Scovill St, Suite 101, Waterbury, CT 06706-1127Phone(203) 709-5680Fax(203) 709-5688Mailing LocationMailing Address56 Franklin St, 3rd Floor, Waterbury, CT 06706-1221Phone(203) 709-8873Fax(203) 709-8689Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense028261ConnecticutProvider IdentifiersIDDescriptionIssuerID001282615DescriptionMedicaidIssuerUnlistedConnecticut