MEDICARE: DEBORAH M LANDAU PT

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	225100000X	Physical Therapist	019535-1	NY

General Provider Information

NPI Number	:	1427175769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH M LANDAU PT

Provider Business Mailing Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 806
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	212-226-2066
Fax Number	:	212-500-0039

Provider Business Practice Location Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 806
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	212-226-2066
Fax Number	:	212-500-0039

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	02/18/2014

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