Organization
NEW YORK IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANDOR (DIRECTOR)
(718) 793-9020
Entity
Organization
Contact information
Practice address
6920 MAIN ST, FLUSHING, NY 11367-1703
(718) 793-9020
(718) 261-4220
Mailing address
6920 MAIN ST, FLUSHING, NY 11367-1703
(718) 793-9020
(718) 261-4220
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
184552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01694724
—
NY
Enumeration date
05/10/2010
Last updated
05/10/2010
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