Leslie Anne Marie Lidonnici, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

138550 Issued in NY

Practice address

100 Port Washington Blvd
Roslyn, NY 11576-1353

Phone

(516) 629-2484

Fax

(516) 629-2027

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Interventional Cardiology,P.C.

  • Interventional Cardiology Physician
  • Roslyn, NY
  • NPI 1285745851
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1548375314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501031",
            "telephone_number": "516-629-2484",
            "fax_number": "516-629-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-629-2484",
            "fax_number": "516-629-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDONNICI",
        "first_name": "LESLIE",
        "middle_name": "ANNE MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "138550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01634775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Ruth Leverich, M.D.
• Adrienne Iris Levine, MSW LCSW
• Joseph H Levine, M.D.
• Arnold O Levy, M.D.
• Cindy Li
• Paul Liebhaber, P.T
• Lifenet Alert Systems, LLC
• Carol R Lioz, M.S.
• Emilie Paula Lippmann, MS-CCC-SLP
• Bernice C Lite, MS, TSHH, SPECIAL ED

• Surgical Critical Care Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Surgical Critical Care Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.