Individual
ELIZABETH LEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
91 LEONARD ST APT 3F, NEW YORK, NY 10013-5266
(203) 858-5608
Mailing address
91 LEONARD ST APT 3F, NEW YORK, NY 10013-5266
(203) 858-5608
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86118780
COMMISSION ON DIETETIC REGISTRATION
NY
Enumeration date
11/23/2020
Last updated
11/23/2020
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