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Organization
LAURENCE D LANDAU DPM PC
Active
Organization
LAURENCE D LANDAU DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE LANDAU (SOLE PROPRIETOR)
(516) 233-1919
Entity
Organization
Contact information
Practice address
4230 HEMPSTEAD TPKE STE 200, BETHPAGE, NY 11714
(516) 233-1919
(516) 731-7302
Mailing address
PO BOX 416, BETHPAGE, NY 11714-0416
(516) 233-1919
(516) 731-7302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N005051
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01407767
—
NY
Enumeration date
11/14/2006
Last updated
04/24/2023
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