Provider Demographics
NPI:1255674339
Name:LEDOUX, ANDREA ZAMBETTI (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ZAMBETTI
Last Name:LEDOUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:REBECCA
Other - Last Name:ZAMBETTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:620 E BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3741
Mailing Address - Country:US
Mailing Address - Phone:914-777-5437
Mailing Address - Fax:
Practice Address - Street 1:620 E BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3741
Practice Address - Country:US
Practice Address - Phone:914-777-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY283406208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program