MEDICARE: LEEZA PANTANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	1997344261	NY

General Provider Information

NPI Number	:	1992655054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEEZA PANTANO

Provider Business Mailing Address
First Line	:	131 GAULDY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 GAULDY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7240
Country	:	US
Telephone Number	:	917-376-7474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

Similar Medicare Providers

1356334106 — MR. SCOTT STANGE LCSW
Practice Location Address:

ROCK ISLAND ARSENAL HEALTH CLINIC, (RIAHC) , ATTN: MCXM-DMC, BUILDING 110
ROCK ISLAND ARSENAL, IL
61299-7240

Practice Phone: 309-782-0805
Practice Fax: 309-782-0810

1306824925 — JEFFERY M JAURON DO
Practice Location Address:

ROCK ISLAND ARSENAL , 1 ROCK ISLAND
ROCK ISLAND, IL
61299-7240

Practice Phone: 309-782-0805
Practice Fax:

1679767131 — HEATHER ANN CLAUS ARNP
Practice Location Address:

1 ROCK ISLAND ARSENAL , BUILDING 110, BASEMENT
ROCK ISLAND, IL
61299-7240

Practice Phone: 309-782-0805
Practice Fax: 309-782-0825

1912313222 — IRELAND ARMY COMMUNITY HOSPITAL
Practice Location Address:

BLDG 110 RODMAN AVE.
ROCK ISLAND ARSENAL, IL
61299-7240

Practice Phone: 309-782-0550
Practice Fax: 309-782-0553

1336735364 — LORI FEATHERINGILL LMHC
Practice Location Address:

1776 FIDDLERS RIDGE DR
FLEMING ISLAND, FL
32003-7240

Practice Phone: 706-551-9001
Practice Fax:

1750230009 — ANA CAROLINA FRANCIA
Practice Location Address:

14 DANNY CT
STATEN ISLAND, NY
10314-3332

Practice Phone: 929-202-1960
Practice Fax:

Directions to “ LEEZA PANTANO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.