LEONID IZIKSON (NPI# 1972624120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972624120 |
Entity Type | Individual |
Full Name | LEONID IZIKSON |
Credential | M.D. |
Practice Address |
745 State Route 17m Monroe NY 10950-2660 |
Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
Practice Telephone | 8457036999 |
Practice Fax Number | 8457036297 |
Mailing Telephone | 8457036999 |
Mailing Fax Number | 8457036297 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 252131 | NY | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
252131 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03082579 | 05 |
Street Address |
745 STATE ROUTE 17M |
City | MONROE |
State | NY |
Zip Code | 10950-2660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558857425 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 745 State Route 17m, Monroe, NY 10950-2660 | 2018-07-03 |
1437663424 | Corinne Zambetti | Nurse Practitioner | 745 State Route 17m, Monroe, NY 10950-2660 | 2017-11-29 |
1194184960 | Gitty Blachman | Dietitian, Registered | 745 State Route 17m, Monroe, NY 10950-2660 | 2016-02-22 |
1235522178 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 745 State Route 17m, Suite 107, Monroe, NY 10950-2660 | 2015-03-17 |
1790009587 | Raquel Aires Gomes | Physician Assistant | 745 State Route 17m, Monroe, NY 10950-2660 | 2010-03-23 |
1861658387 | Roberto Santiago Gabitto | Internal Medicine | 745 State Route 17m, Suite 103, Monroe, NY 10950-2660 | 2008-08-04 |
1851413710 | New England O & P New York, Inc | Durable Medical Equipment & Medical Supplies | 745 State Route 17m, Suite 107, Monroe, NY 10950-2660 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
Find all providers in zip 10950 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
1801061718 | James M. Ulery Jr Md PC | Dermatology | 1310 N Macomb St, Monroe, MI 48162-3131 | 2008-04-23 |
1073704391 | Loretta Pylant Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | 2007-08-05 |
1366548885 | Creighton Chandler Jr. | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2006-09-15 |
1043313919 | James Martin Ulery Jr. | Dermatology | 315 Stewart Rd, Monroe, MI 48162-4393 | 2006-09-06 |
1851316590 | Janine O Hopkins | Dermatology | 2509 Broadmoor Blvd, Ste A, Monroe, LA 71201-2987 | 2006-07-13 |
1922062322 | James Arthur Altick Jr. | Dermatology | 2804 Kilpatrick Blvd, Monroe, LA 71201-5139 | 2006-04-13 |
1205454865 | Woundrite Physicians Management, LLC | Dermatology | 1971 N Monroe St, Monroe, MI 48162-4255 | 2020-07-10 |
1699300939 | Chronic Disease Management of Georgia, LLC | Dermatology | 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | 2020-03-06 |
1053957944 | Affinity Health Group LLC | Dermatology | 920 Oliver Rd # A, Monroe, LA 71201-5702 | 2019-11-26 |
Find all providers in MONROE |
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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.