MEDICARE: LLOYD DAVID LANDSMAN MD

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	208200000X	Plastic Surgery Physician	1687161	NY

General Provider Information

NPI Number	:	1831297977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYD DAVID LANDSMAN MD

Provider Business Mailing Address
First Line	:	33 WALT WHITMAN RD # 232W
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-864-4111
Fax Number	:	631-861-4099

Provider Business Practice Location Address
First Line	:	33 WALT WHITMAN RD STE 232W
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	516-647-2415
Fax Number	:	631-861-4099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/05/2026

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