Individual
DR. BETSY LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9415 69TH AVE, FOREST HILLS, NY 11375-5857
(718) 268-5829
(718) 575-9667
Mailing address
9415 69TH AVE, FOREST HILLS, NY 11375-5857
(718) 268-5829
(718) 575-9667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008781-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011025
VALUE OPTIONS
NY
05
—
01145275
—
NY
01
—
V4A311
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
12/27/2006
Last updated
09/22/2010
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