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SAM A. LEUZZI NPI 1942475868


NPI Information

NPI: 1942475868
Provider Name: SAM A. LEUZZI

Doing Business As: CROMWELL PEDIATRICS

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
78 CROMWELL AVE
SUITE B
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 979-7900
Get Directions

SAM A. LEUZZI is an adolescent medicine pediatrics in Staten Island, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SAM A. LEUZZI NPI is 1942475868. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cromwell Pediatrics.

The provider's business location address is:

78 CROMWELL AVE
SUITE B
STATEN ISLAND, NY
ZIP 10304-933
Phone: (718) 979-7900
Fax: (718) 979-8500

The provider's authorized official is Sam Leuzzi .
The authorized official title is President and has the following contact phone number (718) 979-7900.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine185975NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101265030MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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