Leslie Gary Batnick, DDS
Individual provider Active NPI Periodontics · Wantagh, NY
NPI 1790902567 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790902567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 033063 (NY)
- Practice address
- 3366 Park Ave
Wantagh, NY 11793-3718 - Phone
- (516) 826-4949
- Fax
- (516) 826-2707
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033063 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Long Island Periodontics and Implantology | Periodontics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 033063 | NY | Yes |
Addresses
Primary practice location
3366 Park Ave
Wantagh, NY 11793-3718
Mailing address
3366 Park Ave
Wantagh, NY 11793-3718
Phone (516) 826-4949
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.