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NPI Code Detail

MEDICARE: ROBERT J LANDY, DPM

MEDICARE: ROBERT J LANDY, DPM
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
1332B00000XDurable Medical Equipment & Medical SuppliesN005031NY

Other Identifiers

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

General Provider Information

NPI Number : 1558416149
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT J LANDY, DPM
Provider Business Mailing Address
First Line : 799 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3812
Country : US
Telephone Number : 631-669-5440
Fax Number : 631-669-4403
Provider Business Practice Location Address
First Line : 799 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3812
Country : US
Telephone Number : 631-669-5440
Fax Number : 631-669-4403
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT J LANDY
Credential : DPM
Telephone Number : 631-669-5440
Provider Enumeration Date : 01/24/2007
Last Update Date : 03/20/2008

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