Organization
SAM A. LEUZZI
Active
Other names
Cromwell Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM LEUZZI (PRESIDENT)
(718) 979-7900
Entity
Organization
Contact information
Practice address
78 CROMWELL AVE, SUITE B, STATEN ISLAND, NY 10304-3933
(718) 979-7900
(718) 979-8500
Mailing address
78 CROMWELL AVE, SUITE B, STATEN ISLAND, NY 10304-3933
(718) 979-7900
(718) 979-8500
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
185975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01265030
—
NY
Enumeration date
04/23/2008
Last updated
06/18/2008
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