Provider Demographics
NPI:1932458387
Name:LEDESMA, WENDY CHRISTINE (MST, CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:CHRISTINE
Last Name:LEDESMA
Suffix:
Gender:F
Credentials:MST, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 30TH AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3333
Mailing Address - Country:US
Mailing Address - Phone:646-269-5367
Mailing Address - Fax:
Practice Address - Street 1:2105 30TH AVE
Practice Address - Street 2:APT. 2
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3333
Practice Address - Country:US
Practice Address - Phone:646-269-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY960568654374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula