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Organization

JEANNETTE CANO-LANDIVAR MEDICAL OFFICE PC

Active
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Organization

JEANNETTE CANO-LANDIVAR MEDICAL OFFICE PC

Active
Other names
EVEREST MEDICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNETTE CANO-LANDIVAR MD (MEDICAL DIRECTOR)
(718) 709-4721
Entity
Organization

Contact information

Practice address
3747 77TH ST, JACKSON HEIGHTS, NY 11372-6629
(917) 745-0067
(917) 745-0099
Mailing address
10119 JAMAICA AVE, RICHMOND HILL, NY 11418-2008
(718) 709-4721
(718) 709-4733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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