Healthcare Provider Details

I. General information

NPI: 1063376564
Provider Name (Legal Business Name): DR. ZOEY LANDAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5561 PENNELL RD
MEDIA PA
19063-6505
US

IV. Provider business mailing address

924 CASTLEHILL LN
DEVON PA
19333-1871
US

V. Phone/Fax

Practice location:
  • Phone: 610-361-9301
  • Fax:
Mailing address:
  • Phone: 610-220-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC012090
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: