Leonid Basovich, DO, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

235997 Issued in NY

Legal business name

LEONID BASOVICH, DO, PC

Doing business as

Leonid Basovich, DO, PC

Practice address

565 Route 25a Ste 101
Miller Place, NY 11764-2600

Phone

(631) 849-4551

Fax

(631) 849-4552

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leonid Basovich, DO

Title

President

Phone

(516) 884-2349

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Leonid Basovich, DO, PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Polina Volodarskaya, DO

  • Family Medicine Physician
  • Citrus Heights, CA
  • NPI 1700851896
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1366644106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 SPRING LN",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287089",
            "telephone_number": "516-884-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE 101",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642600",
            "telephone_number": "631-849-4551",
            "fax_number": "631-849-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID BASOVICH, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BASOVICH",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-884-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "235997",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "235997",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "235997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366644106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonid Basovich, DO, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leonid Basovich, DO, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Lanza, PT
• Margaret Marie Laskowski, CCC-SLP
• Kimberly Flower Leake, LMSW
• Kathy Lee, PHARMD
• Kelly Ann Leichter, M.S. CCC SLP
• Leslie Epstein LCSW Compassionate Solutions P.C.
• Janice Aneita Lewis
• Debra Ann Librizzi, RN
• Lifetime Medical Health PLLC
• Lifetime Medical Wellness PLLC

• Family Medicine Physician in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.