Ledovsky, Tatyana M.
Ledovsky, Tatyana M. is an sole proprietor health care provider with primary practice located at 6415 Fresh Pond Rd , Ridgewood NY 11385-3330. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ledovsky, Tatyana M. can be contacted via phone (718) 381-9500.Contact Information
Primary practice address
6415 Fresh Pond Rd
Ridgewood NY 11385-3330
Phone: (718) 381-9500
Fax: (718) 381-9505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 214455 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 214455 | New York |
Profile Details
| NPI number | 1184657967 |
|---|---|
| LBN Legal business name | Ledovsky, Tatyana M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Apr 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184657967 | NPPES |
| New York | MEDICAID | 01980065 |
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