Diaz Ledesma, Lizeth

Diaz Ledesma, Lizeth is an sole proprietor health care provider with primary practice located at 169 Riverside Dr , Binghamton NY 13905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Diaz Ledesma, Lizeth can be contacted via phone (607) 798-5671.

Contact Information

Primary practice address
169 Riverside Dr Binghamton NY 13905
Phone: (607) 798-5671
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME111187 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 261666 New York

Profile Details

NPI number 1700085784
LBN Legal business name Diaz Ledesma, Lizeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2007
Last updated Sep 17th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700085784 NPPES
Pennsylvania MEDICAID 03012782
Pennsylvania MEDICAID 1022060610001
Pennsylvania MEDICAID 004333300

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