# YELENA LIDERMAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ULTRASOUND DIAGNOSTIC COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639405236
- **Authorized official:** YELENA LIDERMAN (OWNER)
- **Authorized official phone:** (347) 702-8148

## Contact information

- **Practice address:** 8831 20TH AVE, 2F, BROOKLYN, NY 11214-7335
- **Practice address phone:** (347) 702-8148
- **Mailing address:** 8831 20TH AVE, 2F, BROOKLYN, NY 11214-7335
- **Mailing address phone:** (347) 702-8148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 140440 | NY | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 05/18/2010