Provider Demographics
NPI:1942511308
Name:LEDERFEIND, PENINA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:PENINA
Middle Name:
Last Name:LEDERFEIND
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3046
Mailing Address - Country:US
Mailing Address - Phone:718-258-2069
Mailing Address - Fax:
Practice Address - Street 1:870 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3046
Practice Address - Country:US
Practice Address - Phone:718-258-2069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist