Individual
DR. MICHAEL J LANDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 IVY ST, SUITE 106, ELMIRA, NY 14905-1627
(607) 737-4539
(607) 737-7783
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
178052
NY
2083X0100X
Occupational Medicine Physician
Primary
178052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01478344
—
NY
Enumeration date
02/20/2006
Last updated
06/13/2016
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