Healthcare Provider Details

I. General information

NPI: 1174779235
Provider Name (Legal Business Name): FRANK LANDINO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HEMLOCK RIDGE DR UNIT 307
WHITE RIVER JUNCTION VT
05001-2322
US

IV. Provider business mailing address

16 HEMLOCK RIDGE DR UNIT 307
WHITE RIVER JUNCTION VT
05001-2322
US

V. Phone/Fax

Practice location:
  • Phone: 203-895-8328
  • Fax:
Mailing address:
  • Phone: 203-895-8328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number049225
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: