# CAROLYN ROSE LEDERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184660904
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 039687 | CT | — |
| 207W00000X | Ophthalmology Physician | 193530 | NY | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | 193530 | NY | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 04/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01748329 | — | NY |