MEDICARE: ROBERT J LANDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	N005031	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215082854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J LANDY

Provider Business Mailing Address
First Line	:	1340 METROPOLITAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462
Country	:	US
Telephone Number	:	718-863-3338
Fax Number	:	718-863-0936

Provider Business Practice Location Address
First Line	:	1340 METROPOLITAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462
Country	:	US
Telephone Number	:	718-863-3338
Fax Number	:	718-863-0936

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT J LANDY
Credential	:	DPM
Telephone Number	:	718-863-3338

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	03/19/2008

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