Leslie Lucien Citrome, MD, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

170947 Issued in NY

Practice address

11 Medical Park Dr
Suite 106
Pomona, NY 10970-3559

Phone

(845) 398-5595

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780796045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BLUE SKY DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012307",
            "telephone_number": "845-398-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR",
            "address_2": "SUITE 106",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703559",
            "telephone_number": "845-398-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITROME",
        "first_name": "LESLIE",
        "middle_name": "LUCIEN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "170947",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04780900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon Cho, MD
• Choi Ophthalmology PLLC
• Hung Michael Choi
• Tony T Choi, M.D.
• Margaret Christensen, RN
• CK Speech SLP PLLC
• Robert Allen Clark, PH.D.
• Cleanright Homecare LLC
• Laya Cohen, BCBA, LBA
• Mara Cohen, LCSW

• Psychiatry Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.