Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leviathan Wellness PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1215650379

Leviathan Wellness PLLC is an Ambulatory Surgical Clinic/Center in Hicksville, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

55 E Old Country Rd
Hicksville, NY 11801-4293
Phone: (516) 987-6428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1215650379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leila Wilson — Manager · (917) 612-7485
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address1584 86th St, Brooklyn, NY 11228-3433