Individual
ESTEBAN LANDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
895636
NY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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