1447130141 NPI number — LEDNER JASON GIRON

Table of content: (NPI 1558618249)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447130141 NPI number — LEDNER JASON GIRON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIRON
Provider First Name:
LEDNER
Provider Middle Name:
JASON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447130141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
113 HOFSTRA UNIVERSITY
Provider Second Line Business Mailing Address:
GALLON WING, ROOM 132
Provider Business Mailing Address City Name:
HEMPSTEAD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11549-1130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-463-6700
Provider Business Mailing Address Fax Number:
516-463-5177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 HOFSTRA UNIVERSITY
Provider Second Line Business Practice Location Address:
GALLON WING, ROOM 132
Provider Business Practice Location Address City Name:
HEMPSTEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11549-1130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-463-6700
Provider Business Practice Location Address Fax Number:
516-463-5177
Provider Enumeration Date:
09/03/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)