Lidonnici, Leslie Anne Marie

Lidonnici, Leslie Anne Marie is an individual health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Lidonnici, Leslie Anne Marie can be contacted via phone (516) 629-2484.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Fax: (516) 629-2027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 138550 New York

Profile Details

NPI number 1548375314
LBN Legal business name Lidonnici, Leslie Anne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548375314 NPPES
New York MEDICAID 01634775

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