LIEZL VILLAVERDE, MD PC (NPI# 1093234858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093234858 |
| Entity Type | Organization |
| Organization Name | LIEZL VILLAVERDE, MD PC |
| Practice Address |
105 Byrne Ave Staten Island NY 10314 |
| Practice Telephone | 7186987220 |
| Practice Fax Number | 7186982004 |
| Mailing Telephone | 7186897220 |
| Mailing Fax Number | 7186982004 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MRS. LIEZL VILLAVERDE (PRESIDENT) |
| Authorized Official Telephone | 7186987220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LIEZL VILLAVERDE, MD PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 210729 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
105 BYRNE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841386075 | Liezl R Villaverde | Pediatrics | 105 Byrne Ave, Staten Island, NY 10314-4406 | 2006-10-05 |
| 1962848739 | Hudson Psychological Services LLC | Psychologist | 105 Byrne Ave, Staten Island, NY 10314-4406 | 2013-05-20 |
| 1871625301 | Isaura De La Caridad Gonzalez | Psychologist | 105 Byrne Ave, Basement Suite, Staten Island, NY 10314-4406 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
| 1497250914 | Hina Fatima | Pediatrics | 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 | 2018-03-27 |
| 1629439427 | Pm Pediatrics of Staten Island | Pediatrics | 2407 Richmond Ave, Staten Island, NY 10314-3906 | 2016-03-08 |
| 1376960831 | Wing Sze Leung | Pediatrics | 165 Vanderbilt Avenue, Staten Island, NY 10304 | 2014-03-23 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1376882084 | Attilio Antonio Avidano | Pediatrics | 89 Wirt Ave, Staten Island, NY 10309-4225 | 2013-02-01 |
| 1154604239 | Chavivan Dharapak | Pediatrics | 290 Ridgecrest Ave, Staten Island, NY 10312-5134 | 2011-09-24 |
| 1649551995 | Rumana Rahman | Pediatrics | 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 | 2011-08-31 |
| 1922325232 | Nilufar Begum Maniky | Pediatrics | 245 Granite Ave, Staten Island, NY 10303-2605 | 2010-04-26 |
| 1790015899 | Anees Shareef | Pediatrics | 120 Goff Ave, Staten Island, NY 10309-2801 | 2010-01-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.