Individual
GERARD LANDAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E 125TH ST, WARDS ISLAND, NEW YORK, NY 10035
(212) 369-0500
Mailing address
22 BAGATELLE RD, DIX HILLS, NY 11746-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159097
—
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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