DR. LESLIE S BURSTEIN (NPI# 1104840362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104840362 |
| Entity Type | Individual |
| Full Name | DR. LESLIE S BURSTEIN |
| Practice Address |
560 Northern Blvd Suite 205 Great Neck NY 11021-5118 |
| Practice Telephone | 5164828440 |
| Mailing Telephone | 5164828440 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
33578 | NY | Dental Providers |
| Street Address |
560 NORTHERN BLVD SUITE 205 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839347 | David Lee Katz | Specialist | 560 Northern Blvd, Great Neck, NY 11021-5100 | 2005-05-23 |
| 1740723279 | Apn Dental PC | Dentist | 560 Northern Blvd, Suite 205, Great Neck, NY 11021-5118 | 2016-12-01 |
| 1851751838 | Manhasset Chiropractic PC | Chiropractor | 560 Northern Blvd, Ste 106b, Great Neck, NY 11021-5118 | 2016-03-03 |
| 1235505413 | Agnes Sides | Physician Assistant | 560 Northern Blvd, Great Neck, NY 11021-5118 | 2015-08-11 |
| 1912398991 | Garrett Ilg Reichelt | Chiropractor | 560 Northern Blvd, Ste 106b, Great Neck, NY 11021-5100 | 2015-02-11 |
| 1497157150 | Tara Cutrone | Nurse Practitioner | 560 Northern Blvd, 109, Great Neck, NY 11021-5118 | 2014-09-24 |
| 1992147128 | Barry Fisher M.d. P.C. | Orthopaedic Surgery | 560 Northern Blvd, Suite 106, Great Neck, NY 11021-5100 | 2013-07-30 |
| 1245679349 | Susan Karol | Registered Nurse | 560 Northern Blvd, Suite207, Great Neck, NY 11021-5118 | 2013-06-21 |
| 1164869384 | Jordana Sage Mandel | Dietitian, Registered | 560 Northern Blvd, Suite207, Great Neck, NY 11021-5118 | 2013-05-29 |
| 1174895445 | Colonial Supplies LLC | Durable Medical Equipment & Medical Supplies | 560 Northern Blvd, Suite 104, Great Neck, NY 11021-5118 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164641296 | Kenneth Lee Kobliner | Dentist | 23 Bond Street, Great Neck, NY 11021-2025 | 2007-04-25 |
| 1285785386 | Adam Lyle Zatcoff | Dentist | 30 Stoner Ave, Apt 1f, Great Neck, NY 11021-2117 | 2007-01-15 |
| 1457424186 | Jack Gruber | Dentist | 54 Old Pond Rd, Great Neck, NY 11023-1031 | 2006-11-17 |
| 1851372791 | Robert Morris Knepper | Dentist | 9 North Dr, Great Neck, NY 11021-1315 | 2005-11-08 |
| 1841293594 | Mehrshid Sedaghatpour | Dentist | 17 Maple Dr, Great Neck, NY 11021-2000 | 2005-05-24 |
| 1811380314 | Dt Periodontics and Cosmetic Dentistry | Dentist | 15 Bond St, Suite 210, Great Neck, NY 11021-2016 | 2015-03-09 |
| 1003218421 | Susan Coven | Dentist | 29 Barstow Rd, 105, Great Neck, NY 11021-2222 | 2014-09-17 |
| 1013318583 | Elliot Lawrence Auerbach | Dentist | 29 Barstow Rd, 105, Great Neck, NY 11021-2222 | 2014-09-15 |
| 1457668279 | Daniel Moezinia | Dentist | 15 Fairfield Rd, Great Neck, NY 11024-1414 | 2010-09-01 |
| 1407982341 | Edwin Ginsberg | Dentist | 233 E Shore Rd, Suite 104, Great Neck, NY 11023-2433 | 2007-02-26 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.