Individual provider · Type 1 NPI
Griselle Villar Ledesma
Medical Physician Assistant · Corona, NY
NPI number
1255710240
Active
Practice location
10427 Corona Ave
Corona, NY 11368-2979
Mailing address
104-27 Corona Ave
Corona, NY 11368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 018582-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1255710240
Griselle Villar Ledesma's National Provider Identifier is 1255710240, issued on May 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Corona, NY. The record was last updated on Sep 29, 2015.