Individual
KANDRIA LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 561-0100
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 547-7146
(209) 547-7197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A176724
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
04/14/2022
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