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Organization
JOSIANE LEDERMAN, MD PC
Active
Organization
JOSIANE LEDERMAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSIANE LEDERMAN M.D. (OWNER)
(718) 370-0422
Entity
Organization
Contact information
Practice address
116 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 370-0422
(718) 983-6152
Mailing address
116 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 370-0422
(718) 983-6152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
170385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33D0931734
CLIA
NY
Enumeration date
01/23/2007
Last updated
08/01/2008
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