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Organization

SOUND SHORE PROVIDER SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS LANDY (CFO)
(914) 637-1357
Entity
Organization

Contact information

Practice address
16 GUION PL, NEW ROCHELLE, NY 10801-5503
(914) 637-1357
(914) 637-1489
Mailing address
PO BOX 1019, SPRING VALLEY, NY 10977-0819
(914) 637-1357
(914) 637-1489

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
02/16/2006
Last updated
09/11/2025
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