DR. LESLIE A PETOSA (NPI# 1871712596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871712596 |
| Entity Type | Individual |
| Full Name | DR. LESLIE A PETOSA |
| Credential | DDS |
| Practice Address |
156 3rd St Staten Island NY 10306-2210 |
| Mailing Address |
274 Bard Ave Staten Island NY 10310-1660 |
| Practice Telephone | 7183511625 |
| Practice Fax Number | 7183511983 |
| Mailing Telephone | 7183511625 |
| Mailing Fax Number | 7183511983 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
038496 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487726501 | Leslie M Petosa | Anesthesiologist Assistant | 303 Parkway Drive, Ne, Box 404, Atlanta, GA 30312-1212 | 2006-11-14 |
| Street Address |
156 3RD ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754060 | Citibrites Dental Hylan LLC | Dentist | 4076 Hylan Blvd, Staten Island, NY 10308-3337 | 2020-06-08 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1811488000 | Maysa Aziz | Dentist | 386 Woolley Ave, Staten Island, NY 10314-2154 | 2018-05-23 |
| 1124554332 | Citibrites Surgical LLC | Dentist | 131 Arnold St Fl 2, Staten Island, NY 10301-2236 | 2017-05-08 |
| 1760917918 | Citibrites Dental LLC | Dentist | 131 Arnold St, Staten Island, NY 10301-2236 | 2017-04-25 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1780067397 | David Louis Greco | Dentist | 155 Bay St, Staten Island, NY 10301-2504 | 2015-06-30 |
| 1043691306 | Christen Jade Carute | Dentist | 255 Mason Ave, Staten Island, NY 10305-3416 | 2015-06-12 |
| 1538441993 | Terry Bruce Mopper | Dentist | 322 Grasmere Dr, Staten Island, NY 10305-2848 | 2011-09-12 |
| 1003100124 | Village Green Dental PC | Dentist | 337 Hampton Grn, Staten Island, NY 10312-1722 | 2011-06-06 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on DR. LESLIE A PETOSA.
| 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.