Individual
IVAN PATRICK LANDEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 E 63RD ST APT 28M, NEW YORK, NY 10065-7931
(646) 468-5424
Mailing address
504 E 63RD ST APT 28M, NEW YORK, NY 10065-7931
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11495201
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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