DR. STEVEN LOUIS LYSENKO (NPI# 1790987055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790987055 |
| Entity Type | Individual |
| Full Name | DR. STEVEN LOUIS LYSENKO |
| Credential | DMD |
| Practice Address |
17 Maple Rd Voorheesville NY 12186-9501 |
| Mailing Address |
103 Crow Ridge Rd Voorheesville NY 12186 |
| Practice Telephone | 5187654616 |
| Practice Fax Number | 5187659348 |
| Mailing Telephone | 5187652029 |
| Mailing Fax Number | 5187659348 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0381771 | NY | Dental Providers |
| Street Address |
17 MAPLE RD |
| City | VOORHEESVILLE |
| State | NY |
| Zip Code | 12186-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336341601 | Norman Ellenbogen | Dentist | 17 Maple Rd, Voorheesville, NY 12186-9501 | 2007-05-31 |
| 1780814855 | Danielle Marie Lloyd | Dentist | 17 Maple Rd, Voorheesville, NY 12186-9501 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922351899 | Jessica Doerr | Local Education Agency (LEA) | 2025 Route 9w, Rcs High School, Ravena, NY 12186 | 2012-10-17 |
| 1962795245 | Thomas Lee Zane | Behavioral Analyst | 378 Rockhill Road, Voorheesville, NY 12186 | 2011-05-19 |
| 1689908378 | Steven L. Lysenko, Dmd Pllc | Dentist | 17 Maple Road, Voorheesville, NY 12186 | 2009-09-28 |
| 1881747368 | Wooden Nichols Inc | Pharmacist | 5 Maple Rd, Voorheesville, NY 12186 | 2007-01-19 |
| 1750731634 | Kristen L Geist | Dentist | 17 Maple Road, Voorheesville, NY 12186-0366 | 2016-06-21 |
| 1053433342 | Active Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 18 Blanchard Ln, Voorheesville, NY 12186-4346 | 2007-04-06 |
| 1649712902 | Mariel Chu | Social Worker | 432 New Salem Rd, Voorheesville, NY 12186-4825 | 2016-11-17 |
| 1326073859 | Marcia J Kindlon | Nurse Practitioner | 680 New Salem Rd, Voorheesville, NY 12186-4833 | 2006-07-12 |
| 1396801973 | Micheal Allan Kieserman | Pediatrics | 680 New Salem Rd, Voorheesville, NY 12186-4833 | 2006-12-28 |
| 1699984286 | Dominic Joseph Sette-ducati | Psychiatry & Neurology | 129 Helderhill Rd, Suite C, Voorheesville, NY 12186-4911 | 2007-05-21 |
| Find all providers in zip 12186 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066454 | Lee P. Perry | Dentist | 7 Wesley Pl, Voorheesville, NY 12186-9211 | 2019-07-24 |
| 1336341601 | Norman Ellenbogen | Dentist | 17 Maple Rd, Voorheesville, NY 12186-9501 | 2007-05-31 |
| 1750731634 | Kristen L Geist | Dentist | 17 Maple Road, Voorheesville, NY 12186-0366 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | VOORHEESVILLE |
| Zip Code | 12186 |
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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.