Individual
DR. ELLIOT CHARLES LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1013 AVENUE J, BROOKLYN, NY 11230
(718) 627-1800
(718) 627-3330
Mailing address
1013 AVENUE J, BROOKLYN, NY 11230-3540
(718) 627-1800
(718) 627-3330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00952130
—
NY
Enumeration date
12/27/2006
Last updated
11/30/2010
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