LESLIE I WOLFSON


Address: 263 Farmington Ave, Farmington, CT 06030-0001
Phone: 8606794888

LESLIE I WOLFSON (NPI# 1205834371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205834371
Entity Type Individual
Full Name LESLIE I WOLFSON
Credential MD
Practice Address 263 Farmington Ave
Farmington
CT 06030-0001
Mailing Address 263 Farmington Ave
Provider Enrollment
Farmington
CT 06030-2212
Practice Telephone 8606794888
Practice Fax Number 8606791153
Mailing Telephone 8606797503
Mailing Fax Number 8606791610
Enumeration Date 2005-07-12
Last Update Date 2014-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
030779 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 004999892 05

Office Location

Street Address 263 FARMINGTON AVE
City FARMINGTON
State CT
Zip Code 06030-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879519 Michael Joseph Giordano Neurological Surgery 263 Farmington Ave, Farmington, CT 06030-0001 2005-05-24
1891394995 Ewa Jaszczolt Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-20
1295333458 Brianne Catherine Bischoff Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-10
1023622073 Michael John Arciszewski Perfusionist 263 Farmington Ave, Farmington, CT 06030-0002 2020-09-06
1073126199 Esha Bhatt Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06032-1956 2020-08-28
1689286932 Margaret Darin Physician Assistant 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-18
1174133656 Rosa Raquel Huivin Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-09
1336758051 Sahar Zamani Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0002 2020-07-28
1083222954 Gabriela Maria Parra Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
1780292680 Bastian Andres Rojas Espinoza Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912052820 Lauren H Sansing Psychiatry & Neurology 263 Famington Ave, Neurology, Farmington, CT 06030-0001 2007-01-24
1710947106 Roshni Patel Psychiatry & Neurology 55 South Rd Ste 120, Farmington, CT 06032-2022 2006-03-28
1922096452 Mohammed Idris Zahoor Psychiatry & Neurology 24001 Orchard Lake Rd, Suite 140, Farmington, MI 48336 2005-10-10
1891135000 Neha Prakash Psychiatry & Neurology 263 Farmington Avenue, Farmington, CT 06030 2013-07-02
1659715944 Fernanda Wajnsztajn Psychiatry & Neurology 263 Farmington Avenue, Farmington, CT 06030 2013-04-17
1477896900 Catherine Alessi Psychiatry & Neurology 505 Farmington Ave, Farmington, CT 06032 2013-04-03
1720379845 Matthew Aaron Tremblay Psychiatry & Neurology Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 2011-04-23
1700183613 Jose Antonio Montes-rivera Psychiatry & Neurology 263 Farmington Ave, Farmington, CT 06030-0001 2011-02-12
1356667380 Matthew Imperioli Psychiatry & Neurology 263 Farmington Ave, Farmington, CT 06030-0001 2010-04-15
1104141233 Laura Waymire Psychiatry & Neurology 2300 E 30th St Ste B-102, Farmington, NM 87401-8991 2010-03-31
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Competitor

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City FARMINGTON
Zip Code 06030

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Dataset Information

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.

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