Individual
DR. STEPHEN CONSTANTINE LANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, RN
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(516) 734-7000
Mailing address
34 ARLEIGH DR, ALBERTSON, NY 11507-1206
(914) 513-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648718
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
137903
NY
Other
Enumeration date
02/24/2022
Last updated
09/08/2024
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