| Grigory Leontyev, MD | |
|
3304 Park Ave, Oceanside, NY 11572-4352 | |
| (516) 270-2126 | |
| (516) 255-2072 |
| Full Name | Grigory Leontyev |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3304 Park Ave, Oceanside, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346322054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 228112-1 (New York) | Primary |
| Entity Name | Bronxcare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
| Entity Name | Lwh Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184968232 PECOS PAC ID: 0941455976 Enrollment ID: O20130225000037 |
| Entity Name | Nightwatch Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184321739 PECOS PAC ID: 4880051366 Enrollment ID: O20230621003005 |
| Mailing Address | Practice Location Address |
|---|---|
| Grigory Leontyev, MD 3304 Park Ave, Oceanside, NY 11572-4352 Ph: (516) 270-2126 | Grigory Leontyev, MD 3304 Park Ave, Oceanside, NY 11572-4352 Ph: (516) 270-2126 |
Charles Sticco, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-764-5455 Fax: 516-678-0631 | |
Evan Kessler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Healthy Way, Department Of Surgery, Oceanside, NY 11572 Phone: 516-632-3000 | |
Megan Chan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2466 Washington Ave, Oceanside, NY 11572 Phone: 516-497-7436 | |
Da Eun Cha, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Dr. Eric David Seitelman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3350 Fax: 516-632-3355 | |
Dr. Derry Rajan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 196 Merrick Rd, Oceanside, NY 11572 Phone: 516-255-8400 |