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Individual

DR. STEVEN J LEDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
(631) 369-4994
Mailing address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 369-5005
(631) 369-4994

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194055
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01505655
NY
Enumeration date
10/10/2005
Last updated
03/10/2017
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