SUSAN W LEDLIE NP
NPI 1104902774
Nurse Practitioner - Pediatrics in Brooklyn, NY

Q: What is Susan Ledlie's NPI number?

The NPI number for Susan Ledlie is 1104902774. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Susan Ledlie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Ledlie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006

317 ATLANTIC AVE, BROOKLYN, NY 11201(718) 858-4000(718) 858-3215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan W Ledlie Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN W LEDLIE NP (NPI 1104902774) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (380457) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104902774

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSUSAN W LEDLIECredential: NP

Location Address317 ATLANTIC AVEBrooklyn, NY 11201-5803

Mailing Address79 S Village AveRockville Centre, NY 11570-5702 · (516) 764-2737 · Fax (718) 858-3215

Phone(718) 858-4000

Fax(718) 858-3215

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104902774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 380457

317 ATLANTIC AVE, Brooklyn, NY 11201

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Other Identifiers 1

Medicaid02280440NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Ledlie's NPI number?

The NPI number for Susan Ledlie is 1104902774. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Susan Ledlie located?

Susan Ledlie practices at 317 Atlantic Ave, Brooklyn, NY 11201. The listed phone number is (718) 858-4000.

What is Susan Ledlie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Ledlie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.