Organization
MARK LANDSMAN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA HYNES (COLLECTIONS)
(718) 388-1600
Entity
Organization
Contact information
Practice address
42 BROADWAY STE 1530, NEW YORK, NY 10004-3885
(718) 388-1600
(718) 388-1551
Mailing address
42 BROADWAY STE 1530, NEW YORK, NY 10004-3885
(718) 388-1600
(718) 388-1551
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS790
OXFORD
NY
01
—
P46361
BCBS
NY
01
—
P46362
BCBS
NY
01
—
P46363
BCBS
NY
Enumeration date
07/25/2007
Last updated
11/20/2007
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