Individual
MR. LANDON LESLIE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE., SYRACUSE, NY 13203
(315) 299-5451
(855) 851-4405
Mailing address
PO BOX 535770, ATLANTA, GA 30353-5510
(866) 507-5244
(954) 858-1815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
104814-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
580831-1
LICENSE
NY
Enumeration date
08/01/2014
Last updated
09/28/2016
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