Individual
DR. GERALD A LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-4625
(607) 547-3259
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01675194
—
NY
Enumeration date
04/25/2006
Last updated
10/02/2023
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