Yelena Liderman

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

140440 Issued in NY

Legal business name

YELENA LIDERMAN

Practice address

8831 20TH Ave
2F
Brooklyn, NY 11214-7335

Phone

(347) 702-8148

NPI assigned

Nov 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yelena Liderman

Title

Owner

Phone

(347) 702-8148

Specialties & licenses 1

Addresses

Other names 1

• ULTRASOUND DIAGNOSTIC COMPANY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1639405236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 20TH AVE",
            "address_2": "2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147335",
            "telephone_number": "347-702-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 20TH AVE",
            "address_2": "2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147335",
            "telephone_number": "347-702-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA LIDERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "LIDERMAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-702-8148"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "NY",
            "license": "140440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULTRASOUND DIAGNOSTIC COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiologic Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.