Individual
DR. DEBRA LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
(914) 493-7927
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
171048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01423156
—
NY
01
—
CB1521
RAILROAD MEDICARE GROUP
NY
01
—
P00054036
RAILROAD MEDICARE
NY
Enumeration date
06/22/2005
Last updated
12/16/2020
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