Leslie Sormillon-Potenciano
Leslie Sormillon-Potenciano is a Physician Assistant in Staten Island, New York. Qualified in 1999, 27 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 27
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
355 Bard AveStaten Island, NY 10310-1664 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 818-1070
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 007061-1 (NY) |
|---|
Record details
| NPI number | 1912160904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | July 9, 2008 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Amboy Medical Practice Pc — 173 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Payments from drug and device companies, 2025
| Food and Beverage | $956 |
|---|
Colleagues at Amboy Medical Practice PC
- Mrs. Alla Nusonovna Adler, NURSEPRACTITIONER/N Nurse Practitioner · Staten Island, NY
- Dr. Suzy Bibawy, MD Adolescent Medicine (Internal Medicine) Physician · Staten Island, NY
- Dr. Magda Wadie Daoud, MD Gastroenterology Physician · Staten Island, NY
- Mrs. Jeannette Elizabeth Driscoll, PA Physician Assistant · Staten Island, NY
- Dr. Sean C Galligan, MD Internal Medicine Physician · Staten Island, NY
- Nida Khan, MD Psychiatry Physician · Staten Island, NY
- Dr. Ryan Nelson, MD Vascular & Interventional Radiology Physician · Brooklyn, NY
- Dr. Neil N Nepola, MDPC Family Medicine Physician · Staten Island, NY
- Olga Rakhlin, MD Psychiatry Physician · Orangeburg, NY
- Dr. Lyudmila Rubinshteyn, MD Internal Medicine Physician · Staten Island, NY
- Muzafar H Surahio, MD Internal Medicine Physician · Staten Island, NY
- Dr. Michael Paul Wilson Jr., DO Urology Physician · Middletown, NY
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