Individual
CAROLYN ROSE LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 WESTCHESTER AVENUE, SUITE 402, PURCHASE, NY 10577-2561
(914) 417-6441
(914) 948-2020
Mailing address
3020 WESTCHESTER AVENUE, SUITE 402, PURCHASE, NY 10577-2561
(914) 417-6441
(914) 948-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
039687
CT
207W00000X
Ophthalmology Physician
193530
NY
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
193530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01748329
—
NY
Enumeration date
06/21/2006
Last updated
04/20/2020
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