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Individual

ALLEN M. LANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13710 FRANKLIN AVE, #L2, FLUSHING, NY 11355-3842
(718) 359-5560
(718) 359-5457
Mailing address
13710 FRANKLIN AVE, #L2, FLUSHING, NY 11355-3842
(718) 359-5560
(718) 359-5457

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
116422
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS495
OXFORD PROVIDER #
NY
Enumeration date
12/15/2006
Last updated
07/08/2007
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