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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1184657967 NPPES
New York MEDICAID 01980065

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