GRISELLE VILLAR LEDESMA (NPI# 1255710240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255710240 |
| Entity Type | Individual |
| Full Name | GRISELLE VILLAR LEDESMA |
| Practice Address |
10427 Corona Ave Corona NY 11368-2979 |
| Mailing Address |
104-27 Corona Ave Corona NY 11368 |
| Practice Telephone | 7185923458 |
| Mailing Telephone | 7185923458 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018582-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10427 CORONA AVE |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677859 | Erika Crystal Reyes | Physician Assistant | 127 N Mckinley St Ste 101, Corona, CA 92879-6563 | 2016-01-25 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1457660359 | Rudy Manuel Ramirez | Physician Assistant | 13355 Green Mountain Dr, Corona, CA 92883-6229 | 2010-09-27 |
| 1720311012 | Hugh Kling Berkley | Physician Assistant | 760 Washburn Ave Ste 5/6, Corona, CA 92882-3303 | 2009-09-17 |
| 1740420918 | Sean David Totten | Physician Assistant | 1492 Fairmont Dr, Corona, CA 92882 | 2009-03-02 |
| 1477745768 | Rose M Ruiz-flores | Physician Assistant | 1530 W 6th St Ste 109, Corona, CA 92882-2784 | 2007-08-10 |
| 1902097926 | Lansdale John Peters | Physician Assistant | 1231 Kendrick Ct, Corona, CA 92881-8226 | 2007-08-06 |
| 1891865747 | Phuong Anh Thi La | Physician Assistant | 2071 Compton Ave, Suite 102, Corona, CA 92881-7278 | 2006-11-08 |
| 1366525461 | Carina Julie-ann Moscoso | Physician Assistant | 2250 S. Main St., Suite 201, Corona, CA 92882-2536 | 2006-10-23 |
| 1194745661 | Anette J Lecair | Physician Assistant | 770 Magnolia Ave Ste 1h, Corona, CA 92879-3121 | 2006-07-20 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.